Tanner Martinez Chiropractic LLC
NPI #1780944462 in St Augustine, Florida
Provider Information
- NPI Number
- 1780944462
- Entity Type
- Organization
- Organization Name
- Tanner Martinez Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 29, 2012
- Last Updated
- May 29, 2012
Practice Location
- Address
- 2200 N PONCE DE LEON BLVD
- Address 2
- SUITE 1
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-2600
- Phone
- (904) 819-9110
Authorized Official
- Name
- DR. DUSTIN JAMES TANNER
- Title
- DOCTOR
- Phone
- (904) 819-9110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Independent Medical Examiner — Independent Medical Examiner |
| Chiropractor |
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