Individual provider · Type 1 NPI
Deric D'agostino, DC
Chiropractor · Jacksonville, FL
NPI number
1508910506
Active
Practice location
5913 Normandy Blvd Ste 13
Jacksonville, FL 32205-6269
Fax (904) 786-9954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 8829 (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 1508910506
Deric D'agostino, DC's National Provider Identifier is 1508910506, issued on Jan 23, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.