Chiropractic Spine and Injury Center LLC

NPI #1184903064 in Orange Park, Florida

Provider Information

NPI Number: 1184903064
Entity Type: Organization
Organization Name: Chiropractic Spine and Injury Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 10, 2011
Last Updated: Oct 31, 2011

Practice Location

Address: 784 BLANDING BLVD STE 106
City: Orange Park
State: Florida
ZIP Code: 32065-7724
Phone: (904) 276-7002

Authorized Official

Name: DR. JAMES W. DAUTEL, D.C.
Title: PRESIDENT/CFO
Phone: (904) 276-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Nutrition — Nutrition	111NN1001X
Chiropractor	111N00000X	Primary

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