All Injury & Diagnostic Clinic LLC
NPI #1932672540 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1932672540
- Entity Type
- Organization
- Organization Name
- All Injury & Diagnostic Clinic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 7, 2019
- Last Updated
- Jan 7, 2019
Practice Location
- Address
- 125 MASON AVE STE A
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32117-5017
- Phone
- (386) 252-0658
Authorized Official
- Name
- DR. JOHNATHAN LIVINGSTON WAGNER, BS,DC
- Title
- OWNER
- Phone
- (386) 290-2324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist |
| Chiropractor |
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