National Provider Identifier Database

JACKSONVILLE INJURY REHAB
Chiropractor

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 interrelationship with other body systems.


Contact Information

JACKSONVILLE INJURY & REHAB
859 PARK AVE.,
SUITE # 102
ORANGE PARK, FL32073
Phone: 904-278-7411
Fax: 904-278-4446
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Public Health & General Preventive Medicine 2083P0901X
Rehabilitation 111NR0400X

* Indicates primary specialty

NPI Profile & details for JACKSONVILLE INJURY & REHAB

NPI Number 1235479130
Legal business name
LBN
JACKSONVILLE INJURY & REHAB
Authorized official REYNALDO PEREZ - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 03/01/2013
Last updated 03/01/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACKSONVILLE INJURY & REHAB

There are currently no reviews for JACKSONVILLE INJURY & REHAB


NPIdb - Home
v2.201