Organization
CHIROPRACTIC SPINE AND INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W. DAUTEL D.C. (PRESIDENT/CFO)
(904) 276-7002
Entity
Organization
Contact information
Practice address
784 BLANDING BLVD STE 106, ORANGE PARK, FL 32065-7724
(904) 276-7002
(904) 272-0086
Mailing address
784 BLANDING BLVD STE 106, ORANGE PARK, FL 32065-7724
(904) 276-7002
(904) 272-0086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NN1001X
Nutrition Chiropractor
—
—
Other
Enumeration date
08/10/2011
Last updated
10/31/2011
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