Individual provider · Type 1 NPI
Brent Vincent Fragola, DC
Chiropractor · Jacksonville, FL
NPI number
1407420367
Active
Practice location
4413 Town Center Pkwy Ste 205
Jacksonville, FL 32246-8570
Mailing address
3701 Danforth Dr Apt 1503
Jacksonville, FL 32224-5231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13292 (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 1407420367
Brent Vincent Fragola, DC's National Provider Identifier is 1407420367, issued on May 16, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 16, 2021.