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Organization
SPINE OF LIFE UPPER CERVICAL CHIROPRACTIC
Active
Organization
SPINE OF LIFE UPPER CERVICAL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PECCA DC (OWNER)
(732) 740-0007
Entity
Organization
Contact information
Practice address
2225 A1A S STE A1, ST AUGUSTINE, FL 32080-6374
(732) 740-0007
Mailing address
2225 A1A S STE A1, ST AUGUSTINE, FL 32080-6374
(732) 740-0007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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