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Organization
PONTE VEDRA CHIROPRACTIC MEDICINE & PHYSICAL THERAPY, INC.
Active
Organization
PONTE VEDRA CHIROPRACTIC MEDICINE & PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G. PACKO D.C. (PRESIDENT)
(904) 285-2243
Entity
Organization
Contact information
Practice address
240 PONTE VEDRA PARK DR, SUITE 150, PONTE VEDRA BEACH, FL 32082-6601
(904) 285-2243
(904) 285-9022
Mailing address
240 PONTE VEDRA PARK DR, SUITE 150, PONTE VEDRA BEACH, FL 32082-6601
(904) 285-2243
(904) 285-9022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6259
FL
Other
Enumeration date
01/11/2008
Last updated
12/02/2016
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