Organization · Type 2 NPI
ST Johns Medical Center PA
Chiropractor · Jacksonville, FL
NPI number
1639284920
Active
Practice location
2511 St. Johns Bluff Rd. So.
Jacksonville, FL 32246
Fax (904) 241-0255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH7497 (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 1639284920
ST Johns Medical Center PA's National Provider Identifier is 1639284920, issued on Aug 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 19, 2008.