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Organization
DME DC PROVIDER LLC
Active
Organization
DME DC PROVIDER LLC
Active
Other names
Medical Bracing Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHALIE BLUM DC (OWNER)
(904) 477-6644
Entity
Organization
Contact information
Practice address
12641 SAN JOSE BLVD, JACKSONVILLE, FL 32223-2646
(904) 606-6007
(904) 376-8738
Mailing address
848 BUCKEYE LN W, SAINT JOHNS, FL 32259-4387
(904) 477-6644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9429
FL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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