MEDICARE: CHRISTINA SALVIA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH12971	FL

General Provider Information

NPI Number	:	1134762834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA SALVIA DC

Provider Business Mailing Address
First Line	:	11900 ATLANTIC BLVD STE 226
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-2942
Country	:	US
Telephone Number	:	904-338-9400
Fax Number	:	904-338-9404

Provider Business Practice Location Address
First Line	:	11900 ATLANTIC BLVD STE 226
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-2942
Country	:	US
Telephone Number	:	904-338-9400
Fax Number	:	904-338-9404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	10/25/2019

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Directions to “ CHRISTINA SALVIA DC” Practice Location

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