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Organization
JAX SPINE & REHAB PLLC
Active
Organization
JAX SPINE & REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ADAM CROSBY DC, ATC (CEO)
(904) 333-6164
Entity
Organization
Contact information
Practice address
13475 ATLANTIC BLVD STE 28, JACKSONVILLE, FL 32225-3290
(904) 333-6164
Mailing address
4216 RIPKEN CIR E, JACKSONVILLE, FL 32224-9675
(904) 333-6164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9780
FL
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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