Dr. Bradley Havlicek, D.C.
Chiropractor in Saint Augustine, FL. Individual provider (NPI-1).
NPI number1245632017
StatusActive
Last updated in NPPESMay 17, 2017
Details
- NPI
- 1245632017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley Havlicek
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2014
- Last updated
- May 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH11280 | FL | Yes |
Practice location
2085 A1a SSte 103
Saint Augustine, FL 32080-6505
Phone 904-515-2225
Mailing address
2085 A1a SSte 103
St Augustine, FL 32080-6505
Phone 904-515-2225 · Fax 904-515-2235
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