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Organization

FIRST COAST SPINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLT MITCHELL ANDREA (PRESIDENT)
(904) 600-3426
Entity
Organization

Contact information

Practice address
4849 FRENCH ST STE 1, JACKSONVILLE, FL 32205-5003
(904) 600-3426
(904) 800-1432
Mailing address
2650 MOSLEY RD, ORANGE PARK, FL 32065-7503

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10319
FL
111N00000X
Chiropractor
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
10/25/2014
Last updated
11/24/2021
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