NPI Registry.org

Fort Caroline Clinic Of Chiropractic

NPI Registration Record

Provider / OrganizationNPIDate Certified
FORT CAROLINE CLINIC OF CHIROPRACTIC11044973612021-07-12

The organization Fort Caroline Clinic Of Chiropractic is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1104497361. Registration indicates Fort Caroline Clinic Of Chiropractic is a provider of services with a specialization in Chiropractic Providers, Chiropractor (Chiropractor, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Chiropractor, Chiropractic Providers)

Entity TypeOrganization
Provider OrganizationFORT CAROLINE CLINIC OF CHIROPRACTIC
Practice Office Address12086 FORT CAROLINE RD STE 402
JACKSONVILLE, FL US
Practice Office Telephone9049024325
Mailing Address14097 PINE ISLAND DR
JACKSONVILLE, FL 322243110 US
Business Telephone8145904411
Authorized OfficialJEREMY BRUBAKER, MEMBER
8145904411
HPT Codes
CodePractice
License No
State
111N00000X PRIMARY
Chiropractic Providers
Chiropractor
Chiropractor

Speech/Occupational/Physical Therapy/Chiropractor

Chiropractor
Chiropractic Providers
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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