Individual provider · Type 1 NPI
Marydee Lynn Vaile, DC
Chiropractor · Jacksonville, FL
NPI number
1164792289
Active
Practice location
11740-2 San Jose Blvd
Jacksonville, FL 32223-1629
Mailing address
1200 Plantation Island Dr S, Suite 230
St. Augustine, FL 32080-3113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH10423 (FL) |
| Chiropractor | 111N00000X | 3682 (SC) |
| Chiropractor | 111N00000X | 001892 (CT) |
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.
4 other providers at this address
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About NPI 1164792289
Marydee Lynn Vaile, DC's National Provider Identifier is 1164792289, issued on Jan 5, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 5, 2012.