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Organization
MANDARIN CHIROPRACTIC CENTER PA
Active
Organization
MANDARIN CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN NICKELS DC (PRESIDENT)
(904) 262-8600
Entity
Organization
Contact information
Practice address
9891 SAN JOSE BLVD STE 2, JACKSONVILLE, FL 32257-5488
(904) 262-8600
(904) 262-3899
Mailing address
9891 SAN JOSE BLVD STE 2, JACKSONVILLE, FL 32257-5488
(904) 262-8600
(904) 262-3899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3821501
—
FL
Enumeration date
04/22/2008
Last updated
04/22/2008
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