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Organization
MARK PIERCE CHIROPRACTIC CLINIC
Active
Organization
MARK PIERCE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE C PIERCE (OFFICE MANAGER)
(904) 645-0777
Entity
Organization
Contact information
Practice address
12620 BEACH BLVD STE 6, JACKSONVILLE, FL 32246-7130
(904) 645-0777
(904) 645-3483
Mailing address
12620 BEACH BLVD STE 6, JACKSONVILLE, FL 32246-7130
(904) 645-0777
(904) 645-3483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55291
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
03/15/2007
Last updated
10/31/2007
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