Organization
CHIRO & LASER PAIN RELIEF CENTER OF ST AUGUSTINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TRUPO DC (DOCTOR)
(904) 460-2923
Entity
Organization
Contact information
Practice address
1092 S PONCE DE LEON BLVD STE K, ST AUGUSTINE, FL 32084-6018
(904) 460-2923
Mailing address
1092 S PONCE DE LEON BLVD STE K, ST AUGUSTINE, FL 32084-6018
(904) 460-2923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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