Organization · Type 2 NPI

Spinally360, LLC

Multi-Specialty Clinic/Center · Orange Park, FL

NPI number 1578415436 Active

Practice location

1542 Kingsley Ave Ste 143
Orange Park, FL 32073-4547

Fax (324) 202-2375

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Public Health & General Preventive Medicine Physician 2083P0901XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1578415436

Spinally360, LLC's National Provider Identifier is 1578415436, issued on Feb 12, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Orange Park, FL. The record was last updated on Feb 12, 2026.