Organization · Type 2 NPI
Abundant Life Health Center LLC
Chiropractor · St. Johns, FL
NPI number
1003328022
Active
Practice location
254 Everest Lane
St. Johns, FL 32259
Mailing address
56 Canary Palm Ct
Ponte Vedra, FL 32081-6100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH12184 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1003328022
Abundant Life Health Center LLC's National Provider Identifier is 1003328022, issued on Oct 31, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Johns, FL. The record was last updated on Oct 31, 2017.