St. Johns Chiropractic & Nutrition, LLC
Clinic/Center, Health Services in Orange Park, FL. Organization (NPI-2).
NPI number1376977611
StatusActive
Last updated in NPPESAug 22, 2013
Details
- NPI
- 1376977611
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Johns Chiropractic & Nutrition, LLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2013
- Last updated
- Aug 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | CH9007 | FL | Yes |
Practice location
35 Knight Boxx RdSuite 3
Orange Park, FL 32065-8053
Phone 904-272-5855 · Fax 904-272-5857
Mailing address
35 Knight Boxx RdSuite 3
Orange Park, FL 32065-8053
Phone 904-272-5855 · Fax 904-272-5857
Authorized official
Randy L John
President
9042725855
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