Organization
FERNANDINA CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE STEVEN GLICKMAN DC (OWNER)
(904) 491-1345
Entity
Organization
Contact information
Practice address
464073 STATE ROAD 200, SUITE 4, YULEE, FL 32097-6307
(904) 491-1345
(904) 491-1346
Mailing address
464073 STATE ROAD 200, SUITE 4, YULEE, FL 32097-6307
(904) 491-1345
(904) 491-1346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH-3341
FL
Other
Enumeration date
01/24/2011
Last updated
05/13/2011
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