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Organization
GNV CHIRO PLLC
Active
Organization
GNV CHIRO PLLC
Active
Parent organization
GNV CHIRO PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GNV CHIRO PLLC
Authorized official
MR. JOSHUA M WILSON DC (OWNER/CHIROPRACTOR)
(352) 949-0843
Entity
Organization
Contact information
Practice address
5745 SW 75TH ST NUM 275, GAINESVILLE, FL 32608-5504
(352) 949-0843
Mailing address
5745 SW 75TH ST NUM 275, GAINESVILLE, FL 32608-5504
(352) 949-0843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104032700
—
FL
Enumeration date
05/29/2020
Last updated
06/01/2020
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