Chiro & Laser Pain Relief Center of St Augustine LLC
NPI #1114401544 in St Augustine, Florida
Provider Information
- NPI Number
- 1114401544
- Entity Type
- Organization
- Organization Name
- Chiro & Laser Pain Relief Center of St Augustine LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 21, 2018
- Last Updated
- Sep 21, 2018
Practice Location
- Address
- 1092 S PONCE DE LEON BLVD STE K
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-6018
- Phone
- (904) 460-2923
Authorized Official
- Name
- GARY TRUPO, DC
- Title
- DOCTOR
- Phone
- (904) 460-2923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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