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Organization
OCEANSIDE CHIROPRACTIC LLC
Active
Organization
OCEANSIDE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE RESTIERI DC (DOCTOR)
(386) 283-4991
Entity
Organization
Contact information
Practice address
14 OFFICE PARK DRIVE, SUITE 6, PALM COAST, FL 32137-3830
(386) 283-4991
(386) 283-4995
Mailing address
14 OFFICE PARK DRIVE, SUITE 6, PALM COAST, FL 32137-3830
(386) 283-4991
(386) 283-4995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HG655A
PTAN
FL
Enumeration date
06/24/2013
Last updated
08/05/2013
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