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Organization
PREMIER CHIROPRACTIC AND WELLNESS CENTER PLC
Active
Organization
PREMIER CHIROPRACTIC AND WELLNESS CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM MICHELLE JOHNSTON D.C. (CHIROPRACTIC PHYSICIAN)
(904) 996-6922
Entity
Organization
Contact information
Practice address
3500 BEACHWOOD CT, SUITE 203, JACKSONVILLE, FL 32224-5706
(904) 996-6922
(904) 996-6923
Mailing address
3500 BEACHWOOD CT, SUITE 203, JACKSONVILLE, FL 32224-5706
(904) 996-6922
(904) 996-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8655
FL
171100000X
Acupuncturist
CH8655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
889041
BCBS
FL
Enumeration date
04/14/2008
Last updated
10/06/2008
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