Seaside Spine Crestview LLC

NPI #1881152353 in Crestview, Florida

Provider Information

NPI Number: 1881152353
Entity Type: Organization
Organization Name: Seaside Spine Crestview LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SEASIDE SPINE LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 4, 2019
Last Updated: Mar 30, 2021

Practice Location

Address: 610 HOSPITAL DR
City: Crestview
State: Florida
ZIP Code: 32539-7356
Phone: (850) 460-2362

Authorized Official

Name: MISS ASHLYN NEWBY
Title: OFFICE MANAGER
Phone: (850) 460-2362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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