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Contact Information

ALL INJURY & DIAGNOSTIC CLINIC LLC
125 MASON AVE STE A
DAYTONA BEACH, FL32117-5017
 Phone: 386-252-0658
 Fax: 386-313-0304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for ALL INJURY & DIAGNOSTIC CLINIC LLC

NPI Number 1932672540
LBN Legal business name ALL INJURY & DIAGNOSTIC CLINIC LLC
Authorized official JOHNATHAN WAGNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2019
Last updated 01/07/2019 - About 7 years ago
Identifiers
FL Other 1881628220 NPI TYPE 1
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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