Individual provider · Type 1 NPI
Ekaterina Medina, DC
Chiropractor · Jacksonville, FL
NPI number
1275104697
Active
Practice location
14866 Old Saint Augustine Rd Ste 103
Jacksonville, FL 32258-2611
Mailing address
3 Pittman Pl
Palm Coast, FL 32164-4838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13546 (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 1275104697
Ekaterina Medina, DC's National Provider Identifier is 1275104697, issued on Jul 7, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 14, 2023.