Bracken Family Chiropractic Center Pa in Orange Park - Chiropractor
Bracken Family Chiropractic Center Pa - NPI 1518169309
Bracken Family Chiropractic Center Pa is a Chiropractor in Orange Park, Florida. Bracken Family Chiropractic Center Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bracken Family Chiropractic Center Pa is 1518169309. The last update date is 2020-08-22.
Bracken Family Chiropractic Center Pa's current location address is 155 Blanding Blvd, Orange Park, Florida. You can contact this provider via phone number 9042139805 and fax number 9042139806. The mailing address for Bracken Family Chiropractic Center Pa is 155 Blanding Blvd, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bracken Family Chiropractic Center Pa |
|---|---|
| Address | 155 Blanding Blvd, Orange Park, Florida |
| Phone Number | 9042139805 |
| Fax Number | 9042139806 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bracken L Staci |
| Credentials | DC |
| Telephone Number | 9042139805 |
NPI Number Detail
| NPI Number | 1518169309 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 155 Blanding Blvd |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320732630 |
| Phone Number | 9042139805 |
| Fax Number | 9042139806 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH8596 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Bracken Family Chiropractic Center Pa by the Centers for Medicare & Medicaid Services?
The Bracken Family Chiropractic Center Pa has been issued the NPI (National Provider Identifier) 1518169309. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bracken Family Chiropractic Center Pa is located?
The Bracken Family Chiropractic Center Pa is situated at the following address: 155 Blanding Blvd, Orange Park, FL, 320732630.
What is Bracken Family Chiropractic Center Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bracken Family Chiropractic Center Pa's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date was the 1518169309 assigned to Bracken Family Chiropractic Center Pa?
The Bracken Family Chiropractic Center Pa was issued its 1518169309 on 2007-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bracken Family Chiropractic Center Pa most recently updated?
The details pertaining to the Bracken Family Chiropractic Center Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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