Organization
CHANGING TIDES CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIANA MELENDEZ-SANTIAGO DC (OWNER/DOCTOR)
(904) 217-0715
Entity
Organization
Contact information
Practice address
1000 PLANTATION ISLAND DR S STE 9, SAINT AUGUSTINE, FL 32080-3106
(904) 217-0715
(904) 217-0746
Mailing address
1000 PLANTATION ISLAND DR S STE 9, SAINT AUGUSTINE, FL 32080-3106
(904) 217-0715
(904) 217-0746
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699252205
NPPES
FL
Enumeration date
08/05/2019
Last updated
08/05/2019
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