MEDICARE: ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	MM13448	FL

General Provider Information

NPI Number	:	1629139159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.

Provider Business Mailing Address
First Line	:	440 3RD ST
Second Line	:	SUITE A
City	:	NEPTUNE BEACH
State	:	FL
Zip	:	32266-5111
Country	:	US
Telephone Number	:	904-249-5999
Fax Number	:	904-249-1768

Provider Business Practice Location Address
First Line	:	440 3RD ST
Second Line	:	SUITE A
City	:	NEPTUNE BEACH
State	:	FL
Zip	:	32266-5111
Country	:	US
Telephone Number	:	904-249-5999
Fax Number	:	904-249-1768

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS A. KISKA
Credential	:	D.C., D.A.C.B.N.
Telephone Number	:	904-249-5999

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	06/16/2008

Similar Medicare Providers

1215097787 — DR. THOMAS A. KISKA D.C., D.A.C.B.N.
Practice Location Address:

440 3RD ST , SUITE A
NEPTUNE BEACH, FL
32266-5111

Practice Phone: 904-249-5999
Practice Fax: 904-249-1768

1033270566 — DR. SUSAN L. SHEPLER D.C.
Practice Location Address:

440 3RD ST , SUITE A
NEPTUNE BEACH, FL
32266-5111

Practice Phone: 904-249-5999
Practice Fax: 904-249-1768

1609689173 — SEASIDE GEMS LLC
Practice Location Address:

446 3RD ST STE 10
NEPTUNE BEACH, FL
32266-5111

Practice Phone: 904-339-2289
Practice Fax:

1225841265 — GEMMA CHINOLY CNA
Practice Location Address:

446 3RD ST STE 10
NEPTUNE BEACH, FL
32266-5111

Practice Phone: 904-339-2289
Practice Fax:

1831467901 — RENEE BISHOP LPN
Practice Location Address:

110 NEPTUNE AVE
MASTIC, NY
11950-5111

Practice Phone: 631-891-5593
Practice Fax:

1619649720 — LYNNE M BELL
Practice Location Address:

136 NEPTUNE AVE
MASTIC, NY
11950-5111

Practice Phone: 631-664-0141
Practice Fax:

Directions to “ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.