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Organization
ACTIVE SPINE CARE LLC
Active
Organization
ACTIVE SPINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRANG N NGHIEM DC (MGR)
(904) 802-4410
Entity
Organization
Contact information
Practice address
9310 OLD KINGS RD S STE 1102, JACKSONVILLE, FL 32257-6196
(904) 802-4410
Mailing address
9310 OLD KINGS RD S STE 1102, JACKSONVILLE, FL 32257-6196
(904) 802-4410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12210
FL
Other
Enumeration date
01/17/2018
Last updated
06/11/2019
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