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Organization
SPINALLY360, LLC
Active
Organization
SPINALLY360, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCDA ERNEZA HILAIRE BRUNOT DC (CEO)
(904) 800-7843
Entity
Organization
Contact information
Practice address
1542 KINGSLEY AVE STE 143, ORANGE PARK, FL 32073-4547
(904) 800-7843
(324) 202-2375
Mailing address
1542 KINGSLEY AVE STE 143, ORANGE PARK, FL 32073-4547
(904) 800-7843
(324) 202-2375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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