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General NPI Number Information
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NPI Number | 1134038474
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Entity Type | Organization
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Legal Business Name | ISLAND SPORTS CHIROPRACTIC & JOINT CENTER LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 50 BARRACUDA LN
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City | KEY LARGO
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State | FL
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Zip | 33037-3733
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Country | US
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Telephone | 305-367-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 99198 OVERSEAS HWY STE 8
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City | KEY LARGO
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State | FL
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Zip | 33037-2437
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Country | US
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Telephone | 305-461-3337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSE SUESS
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Credential | DC
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Telephone | 305-451-3337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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