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Organization
JAX CHIROPRACTIC PLLC
Active
Organization
JAX CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE CHRISTIAN MOSER DC (OWER/CHIROPRACTOR)
(352) 874-3393
Entity
Organization
Contact information
Practice address
12086 FORT CAROLINE RD STE 302, JACKSONVILLE, FL 32225-7639
(904) 564-2500
Mailing address
474 MARSH COVE DR, PONTE VEDRA BEACH, FL 32082-1837
(352) 874-3393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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