Healthcare Provider Details

I. General information

NPI: 1063235877
Provider Name (Legal Business Name): MEGAN TAYLOR SCHWEITZER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 LAND GRANT ST SUITE 4
ST AUGUSTINE FL
32092
US

IV. Provider business mailing address

145 LAND GRANT ST SUITE 4
ST AUGUSTINE FL
32092
US

V. Phone/Fax

Practice location:
  • Phone: 904-250-0205
  • Fax:
Mailing address:
  • Phone: 904-250-0205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15209
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: