Conquer Health Chiropractic LLC
Chiropractor in St Johns, FL. Organization (NPI-2).
NPI number1972371920
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1972371920
- Entity type
- Organization (NPI-2)
- Legal business name
- Conquer Health Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Jan 2, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
530 State Road 13 SUnit 2
St Johns, FL 32259-3865
Phone 904-870-8701
Mailing address
530 State Road 13 SUnit 2
St Johns, FL 32259-3865
Phone 904-870-8701
Authorized official
Craig Bryan
Owner
9048708701
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