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Organization
ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.
Active
Organization
ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A. KISKA D.C., D.A.C.B.N. (PRESIDENT)
(904) 249-5999
Entity
Organization
Contact information
Practice address
440 3RD ST, SUITE A, NEPTUNE BEACH, FL 32266-5111
(904) 249-5999
(904) 249-1768
Mailing address
440 3RD ST, SUITE A, NEPTUNE BEACH, FL 32266-5111
(904) 249-5999
(904) 249-1768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MM13448
FL
Other
Enumeration date
12/12/2006
Last updated
06/16/2008
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