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Contact Information

ACTIVE SPINE CARE LLC
9310 OLD KINGS RD S STE 1102
JACKSONVILLE, FL32257-6196
 Phone: 904-802-4410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE SPINE CARE LLC

NPI Number 1538677133
LBN Legal business name ACTIVE SPINE CARE LLC
Authorized official TRANG NGHIEM - (MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2018
Last updated 06/11/2019 - About 7 years ago
Identifiers
FL License # CH12210
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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