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Organization
MATT NIRSCHL D C LLC
Active
Organization
MATT NIRSCHL D C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT R NIRSCHL CH (OWNER)
(386) 672-6565
Entity
Organization
Contact information
Practice address
55 N OLD KINGS RD STE C, ORMOND BEACH, FL 32174-5175
(386) 672-6565
Mailing address
55 N OLD KINGS RD STE C, ORMOND BEACH, FL 32174-5175
(386) 672-6565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3820763 00
—
FL
01
—
76138
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/13/2007
Last updated
10/14/2025
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