MEDICARE: MCHUGH CHIROPRACTIC AND HEALTHCARE, INC.

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	CH10338	FL

General Provider Information

NPI Number	:	1316333651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCHUGH CHIROPRACTIC AND HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	12525 PHILIPS HWY STE 205
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3741
Country	:	US
Telephone Number	:	904-880-1399
Fax Number	:	904-880-2946

Provider Business Practice Location Address
First Line	:	12525 PHILIPS HWY STE 205
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3741
Country	:	US
Telephone Number	:	904-880-1399
Fax Number	:	904-880-2946

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SEAN F MCHUGH
Credential	:	D.C.
Telephone Number	:	904-880-1399

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	08/10/2023

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