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Organization
SEASIDE SPINE CRESTVIEW LLC
Active
Organization
SEASIDE SPINE CRESTVIEW LLC
Active
Parent organization
SEASIDE SPINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEASIDE SPINE LLC
Authorized official
MISS ASHLYN NEWBY (OFFICE MANAGER)
(850) 460-2362
Entity
Organization
Contact information
Practice address
610 HOSPITAL DR, CRESTVIEW, FL 32539-7356
(850) 460-2362
Mailing address
981 HIGHWAY 98 E STE 9, DESTIN, FL 32541-2588
(850) 460-2362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/30/2021
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