Organization · Type 2 NPI

Gonstead Chiropractic Clinic of Jacksonville LLC

Health Service Clinic/Center · Ponte Vedra Beach, FL

NPI number 1225903305 Active

Practice location

230 Canal Blvd Ste 3
Ponte Vedra Beach, FL 32082-3745

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Health Service Clinic/Center Primary 261QH0100XNone listed

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About NPI 1225903305

Gonstead Chiropractic Clinic of Jacksonville LLC's National Provider Identifier is 1225903305, issued on Oct 8, 2025. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Oct 8, 2025.