Physicians Medical Center Northside INC
Chiropractor in Jacksonville, FL. Organization (NPI-2).
NPI number1891069449
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1891069449
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicians Medical Center Northside INC
- Organization subpart
- No
- Enumeration date
- Feb 29, 2012
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | FL7438 | FL | Yes |
Practice location
1840 Dunn AveSuite 1
Jacksonville, FL 32218-4799
Phone 904-757-2527 · Fax 904-757-3656
Mailing address
1840 Dunn AveSuite 1
Jacksonville, FL 32218-4799
Phone 904-757-2527 · Fax 904-757-3656
Authorized official
Richard Edgar Kersey
President
9047572527
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