# SPINALLY360, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578415436
- **Authorized official:** DR. MARCDA ERNEZA HILAIRE BRUNOT DC (CEO)
- **Authorized official phone:** (904) 800-7843

## Contact information

- **Practice address:** 1542 KINGSLEY AVE STE 143, ORANGE PARK, FL 32073-4547
- **Practice address phone:** (904) 800-7843
- **Practice address fax:** (324) 202-2375
- **Mailing address:** 1542 KINGSLEY AVE STE 143, ORANGE PARK, FL 32073-4547
- **Mailing address phone:** (904) 800-7843
- **Mailing address fax:** (324) 202-2375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2026
- **Last updated:** 02/12/2026