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Organization

PIERCE CHIROPRACTIC & REHABILITATION PA

Active
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Organization

PIERCE CHIROPRACTIC & REHABILITATION PA

Active
Other names
Formerly-FORME Medical and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BURTON A PIERCE JR. DC (PHYSICIAN)
(904) 724-5433
Entity
Organization

Contact information

Practice address
8773 PERIMETER PARK CT., JACKSONVILLE,, FL 32216-1165
(904) 724-5433
(904) 724-9671
Mailing address
8773 PERIMETER PARK CT., JACKSONVILLE,, FL 32216-1165
(904) 724-5433
(904) 724-9671

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH1273
FL
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38365
BCBS
FL
Enumeration date
11/01/2006
Last updated
07/08/2016
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