Organization
JAYNE KWIATKOWSKI LLC
Active
Other names
Tomoka Spine and Posture Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE KWIATKOWSKI D.C. (OWNER/MANAGER)
(386) 872-5323
Entity
Organization
Contact information
Practice address
208 BOOTH RD, SUITE 1, ORMOND BEACH, FL 32174-5717
(386) 872-5323
Mailing address
208 BOOTH RD, SUITE 1, ORMOND BEACH, FL 32174-5717
(386) 872-5323
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH9417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382271100
—
FL
Enumeration date
12/13/2013
Last updated
12/13/2013
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