=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518991603
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARGYLE CHIROPRACTIC CENTER P A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2006
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6251 ARGYLE FOREST BLVD UNIT 101
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32244-8924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-778-0968
-----------------------------------------------------
Fax | 904-573-1821
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 65339
-----------------------------------------------------
City | ORANGE PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32065-0006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-778-0968
-----------------------------------------------------
Fax | 904-573-1821
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. KEITH SCHERTELL
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 904-778-0968
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH 0007619
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------