Seaside Spine Mary Esther LLC

NPI #1174113922 in Mary Esther, Florida

Provider Information

NPI Number
1174113922
Entity Type
Organization
Organization Name
Seaside Spine Mary Esther LLC
Primary Specialty
Chiropractor
Enumeration Date
Jan 25, 2021
Last Updated
Jan 25, 2021

Practice Location

Address
208 MARY ESTHER BLVD
State
Florida
ZIP Code
32569-1687
Phone
(850) 460-2362

Authorized Official

Name
ASHLYN KAYE NEWBY
Title
OPERATIONS MANAGER
Phone
(850) 460-2362

Specialties & Taxonomy Codes

Specialty
Chiropractor

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