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NPI Code Detail

MEDICARE: OAKLEAF CHIROPRACTIC AND INJURY CENTER INC

MEDICARE: OAKLEAF CHIROPRACTIC AND INJURY CENTER 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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1992202675
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKLEAF CHIROPRACTIC AND INJURY CENTER INC
Provider Business Mailing Address
First Line : 9785 CROSSHILL BLVD STE 108
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-5823
Country : US
Telephone Number : 904-269-2437
Fax Number :
Provider Business Practice Location Address
First Line : 9785 CROSSHILL BLVD STE 108
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-5823
Country : US
Telephone Number : 904-269-2437
Fax Number :
Authorized Official
Title or Position : CEO
Name : VIRESH SUBHASH PATEL
Credential :
Telephone Number : 904-269-2437
Provider Enumeration Date : 04/10/2018
Last Update Date : 04/10/2018

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Directions to “OAKLEAF CHIROPRACTIC AND INJURY CENTER INC ” Practice Location

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