Healthcare Provider Details

I. General information

NPI: 1023931540
Provider Name (Legal Business Name): NATHAN MARX
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1449 W NINE MILE RD STE 5
PENSACOLA FL
32534-5384
US

IV. Provider business mailing address

1090 SCENIC HWY
PENSACOLA FL
32503-6617
US

V. Phone/Fax

Practice location:
  • Phone: 850-473-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH16074
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: