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Organization
BLUE ANGEL FAMILY CHIROPRACTIC PA
Active
Organization
BLUE ANGEL FAMILY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AARON FONTZ D.C. (PRESIDENT)
(850) 453-2211
Entity
Organization
Contact information
Practice address
5700 N BLUE ANGEL PKWY, PENSACOLA, FL 32526-1620
(850) 453-2211
(850) 453-3366
Mailing address
5700 N BLUE ANGEL PKWY, PENSACOLA, FL 32526-1620
(850) 453-2211
(850) 453-3366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74785
BLUE CROSS GROUP NUMBER
FL
Enumeration date
12/28/2006
Last updated
04/09/2008
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