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Organization

HEALTHSOURCE OF NORTHWEST FLORIDA LLC

Active
Other names
HEALTHSOURCE OF NW FLORIDA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON D RABINOWITZ DC (OWNER CHIROPRACTOR)
(850) 473-5555
Entity
Organization

Contact information

Practice address
2122 W NINE MILE RD, PENSACOLA, FL 32534-9464
(850) 473-5555
(850) 473-5505
Mailing address
2122 W NINE MILE RD, PENSACOLA, FL 32534-9464
(850) 473-5555
(850) 473-5505

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH11561
FL
111N00000X
Chiropractor
CH11826
FL
111N00000X
Chiropractor
CH12186
FL
111N00000X
Chiropractor
CH7205
FL
111N00000X
Chiropractor
Primary
CH9112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BM255A
MEDICARE PTAN
FL
Enumeration date
10/18/2007
Last updated
07/21/2022
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