Affordable Chiropractic Medicine US 1

NPI #1174700447 in Ponte Vedra, Florida

Provider Information

NPI Number: 1174700447
Entity Type: Organization
Organization Name: Affordable Chiropractic Medicine US 1
Primary Specialty: Chiropractor
Enumeration Date: Jan 29, 2008
Last Updated: Jan 29, 2008

Practice Location

Address: 145 HILDEN RD STE 123
City: Ponte Vedra
State: Florida
ZIP Code: 32081-8403
Phone: (904) 247-2243

Authorized Official

Name: DR. RICHARD G PACKO, D.C.
Title: PRESIDENT
Phone: (904) 247-2243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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