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Jeremy Whidden

Chiropractor in Destin, FL. Individual provider (NPI-1).

NPI number1194246306
StatusActive
Last updated in NPPESJun 28, 2017

Details

NPI
1194246306
Entity type
Individual (NPI-1)
Name
Jeremy Whidden
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2017
Last updated
Jun 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor12229FLYes

Practice location

501 Harbor Blvd Ste C
Destin, FL 32541-2348

Phone 850-654-1850

Mailing address

501 Harbor Blvd Ste C
Destin, FL 32541-2348

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