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Organization
PORT ST. JOE CHIROPRACTIC, LLC
Active
Organization
PORT ST. JOE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ALTMAN D.C. (OWNER/CHIROPRACTOR)
(850) 960-8118
Entity
Organization
Contact information
Practice address
16910 S US HIGHWAY 441, SUMMERFIELD, FL 34491-8664
(850) 960-8118
(352) 347-9044
Mailing address
16910 S US HIGHWAY 441, SUMMERFIELD, FL 34491-8664
(850) 960-8118
(352) 347-9044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381798900
—
FL
01
—
88546
BCBS
—
01
—
U85018
UPIN
FL
Enumeration date
04/02/2008
Last updated
06/12/2014
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