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NPI Code Detail

MEDICARE: FULL SWING HEALTHCARE LLC

MEDICARE: FULL SWING HEALTHCARE LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1194424416
Entity Type Code : Organization
Provider Name (Legal Business Name) : FULL SWING HEALTHCARE LLC
Provider Business Mailing Address
First Line : 13770 BEACH BLVD STE 4
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-7227
Country : US
Telephone Number : 904-539-3352
Fax Number :
Provider Business Practice Location Address
First Line : 13770 BEACH BLVD STE 4
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-7227
Country : US
Telephone Number : 904-539-3352
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CODY ALLEN MUREN
Credential : DC
Telephone Number : 904-539-3352
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/22/2024

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Directions to “FULL SWING HEALTHCARE LLC ” Practice Location

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