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Organization
MCGOWAN SPINAL REHABILITATION CENTER PA
Active
Organization
MCGOWAN SPINAL REHABILITATION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELITA MCGOWAN D.C. (PRESIDENT)
(904) 350-5544
Entity
Organization
Contact information
Practice address
3021 MAIN ST N, JACKSONVILLE, FL 32206-6168
(904) 350-5544
(904) 350-9944
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-0015
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40249
BCBS
FL
Enumeration date
09/28/2006
Last updated
07/21/2022
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