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Organization
MADRID CHIROPRACTIC, P.A.
Active
Organization
MADRID CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS Q JACOBS D.C. (DIRECTOR)
(941) 587-8684
Entity
Organization
Contact information
Practice address
2030 BEE RIDGE RD, SARASOTA, FL 34239-6108
(941) 954-3700
(941) 923-3882
Mailing address
5830 MIDNIGHT PASS RD UNIT 304, SARASOTA, FL 34242-2108
(941) 587-8684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10751
FL
261QM2500X
Medical Specialty Clinic/Center
ME 57417
FL
261QP2000X
Physical Therapy Clinic/Center
PT 8112
FL
Other
Enumeration date
01/02/2013
Last updated
05/15/2013
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