Organization · Type 2 NPI

Ponte Vedra Spine Center LLC

Chiropractor · Ponte Vedra Beach, FL

NPI number 1225754294 Active

Practice location

220 Ponte Vedra Park Dr Ste 180
Ponte Vedra Beach, FL 32082-6616

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

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 1225754294

Ponte Vedra Spine Center LLC's National Provider Identifier is 1225754294, issued on Oct 12, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Oct 12, 2022.