Fernandina Chiropractic Center, INC

NPI #1104121011 in Yulee, Florida

Provider Information

NPI Number: 1104121011
Entity Type: Organization
Organization Name: Fernandina Chiropractic Center, INC
Primary Specialty: Chiropractor
Enumeration Date: Jan 24, 2011
Last Updated: May 13, 2011

Practice Location

Address: 464073 STATE ROAD 200
Address 2: SUITE 4
City: Yulee
State: Florida
ZIP Code: 32097-6307
Phone: (904) 491-1345

Authorized Official

Name: DR. BRUCE STEVEN GLICKMAN, DC
Title: OWNER
Phone: (904) 491-1345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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