Jacksonville Chiropractic Rehab and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSONVILLE CHIROPRACTIC REHAB AND WELLNESS CENTER

Practice address

7908 Blanding Boulevard
Suite #4
Jacksonville, FL 32244-7564

Phone

(904) 720-2589

Fax

(904) 720-2713

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Robinson

Title

Chief Operating Officer

Phone

(904) 720-2589

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcda Erneza Hilaire Brunot, DC,IBCLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1457917437
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1679172548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 BLANDING BOULEVARD",
            "address_2": "SUITE #4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447564",
            "telephone_number": "904-720-2589",
            "fax_number": "904-720-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7908 BLANDING BOULEVARD",
            "address_2": "SUITE #4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447564",
            "telephone_number": "904-720-2589",
            "fax_number": "904-720-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE CHIROPRACTIC REHAB AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "904-720-2589"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacksonville Cosmetic Surgry Center
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• Jacksonville Critical Care Associates PA

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.