Edgewater Chiropractic Clinic, P.a.

NPI #1821421363 in Edgewater, Florida

Provider Information

NPI Number: 1821421363
Entity Type: Organization
Organization Name: Edgewater Chiropractic Clinic, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Aug 20, 2013
Last Updated: Apr 2, 2018

Practice Location

Address: 201 S RIDGEWOOD AVE STE 11
City: Edgewater
State: Florida
ZIP Code: 32132-1935
Phone: (386) 423-7575

Authorized Official

Name: CARLY KRISTEEN MECKLE, D.C
Title: CHIROPRACTOR
Phone: (386) 423-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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