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Organization
SPINEWELL DISC & JOINT CENTERS LLC
Active
Organization
SPINEWELL DISC & JOINT CENTERS LLC
Active
Other names
Disc Centers of America - Ponte Vedra
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L GLASS (PRESIDENT)
(904) 644-3472
Entity
Organization
Contact information
Practice address
1400 MARSH LANDING PKWY STE 107, JACKSONVILLE BEACH, FL 32250-2492
(904) 644-3472
Mailing address
1400 MARSH LANDING PKWY STE 107, JACKSONVILLE BEACH, FL 32250-2492
(904) 644-3472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012784
NY
Other
Enumeration date
07/05/2018
Last updated
08/31/2023
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