# DR. KELLY J. HUBER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chiropractic PLUS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841430683
- **Authorized official:** DR. KELLY J HUBER D.C. (CHIROPRACTOR)
- **Authorized official phone:** (904) 280-1101

## Contact information

- **Practice address:** 135 PROFESSIONAL DR STE 105, PONTE VEDRA BEACH, FL 32082-7228
- **Practice address phone:** (904) 280-1101
- **Practice address fax:** (904) 280-1102
- **Mailing address:** 135 PROFESSIONAL DR STE 105, PONTE VEDRA BEACH, FL 32082-7228
- **Mailing address phone:** (904) 280-1101
- **Mailing address fax:** (904) 280-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH 8850 | FL | — |
| 111NN1001X | Nutrition Chiropractor | CH 7315 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 03/19/2012