Advanced Chiropractic Nutrition Center, P.a.

NPI #1629139159 in Neptune Beach, Florida

Provider Information

NPI Number: 1629139159
Entity Type: Organization
Organization Name: Advanced Chiropractic Nutrition Center, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Dec 12, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 440 3RD ST
Address 2: SUITE A
City: Neptune Beach
State: Florida
ZIP Code: 32266-5111
Phone: (904) 249-5999

Authorized Official

Name: DR. THOMAS A. KISKA, D.C., D.A.C.B.N.
Title: PRESIDENT
Phone: (904) 249-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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