Healthcare Provider Details

I. General information

NPI: 1013189372
Provider Name (Legal Business Name): STARKEY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

461 KINGSLEY AVE
ORANGE PARK FL
32073-4827
US

IV. Provider business mailing address

461 KINGSLEY AVE
ORANGE PARK FL
32073-4827
US

V. Phone/Fax

Practice location:
  • Phone: 904-278-8111
  • Fax: 904-278-5222
Mailing address:
  • Phone: 904-278-8111
  • Fax: 904-278-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberCH7745
License Number StateFL

VIII. Authorized Official

Name: DR. DAVID BRUCE STARKEY
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 904-278-8111