Seaside Spine LLC
Chiropractor in Destin, FL. Organization (NPI-2).
NPI number1215313705
StatusActive
Last updated in NPPESJun 11, 2018
Details
- NPI
- 1215313705
- Entity type
- Organization (NPI-2)
- Legal business name
- Seaside Spine LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2015
- Last updated
- Jun 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH11531 | FL | Yes |
Practice location
981 Highway 98 ESuite 9
Destin, FL 32541
Phone 850-830-5407
Mailing address
981 Highway 98 ESuite 9
Destin, FL 32541-2584
Phone 850-830-5407
Authorized official
Samuel Jonathan Barbee
Owner
8508305407
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