Organization · NPI-2
Ace Diagnostics LLC
Chiropractor, Neurology · Jacksonville, FL
NPI number1114348364
StatusActive
Last updated in NPPESDec 13, 2013
Details
- NPI
- 1114348364
- Entity type
- Organization (NPI-2)
- Legal business name
- Ace Diagnostics LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2013
- Last updated
- Dec 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN0400X | Chiropractor, Neurology | CH9776 | FL | Yes |
Practice location
7835 Chase Meadows Dr EJacksonville, FL 32256-4642
Phone 315-254-8495
Mailing address
Po Box 550732Jacksonville, FL 32255-0732
Authorized official
Vanessa Wilczak
Owner
3152548495
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