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Contact Information

AFFORDABLE CHIROPRACTIC MEDICINE US 1
145 HILDEN RD STE 123
PONTE VEDRA BEACH, FL32081-8403
 Phone: 904-247-2243
 Fax: 904-285-9022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for AFFORDABLE CHIROPRACTIC MEDICINE US 1

NPI # 1174700447
LBN Legal business name AFFORDABLE CHIROPRACTIC MEDICINE US 1
Authorized official RICHARD PACKO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2008
Last updated 01/29/2008 - About 18 years ago
Identifiers
FL License # CH6259
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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