Healthcare Provider Details

I. General information

NPI: 1851585657
Provider Name (Legal Business Name): AFFORDABLE CHIROPRACTIC MEDICINE JACKSONVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 09/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3546 SAINT JOHNS BLUFF RD S #204
JACKSONVILLE FL
32224-2713
US

IV. Provider business mailing address

3546 ST JOHNS BLUFF RD S #204
JACKSONVILLE FL
32224-2713
US

V. Phone/Fax

Practice location:
  • Phone: 904-996-2243
  • Fax: 904-997-2243
Mailing address:
  • Phone: 904-996-2243
  • Fax: 904-997-2243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9412
License Number StateFL

VIII. Authorized Official

Name: DR. ARDEN JAMES HUNZIKER
Title or Position: ASSOCIATE
Credential: DC
Phone: 904-996-2243