Organization
ALIVE4HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN M MONAHAN DC (PRESIDENT)
(800) 454-1920
Entity
Organization
Contact information
Practice address
410 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(800) 454-1920
Mailing address
410 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3812
(800) 454-1920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006340
FL
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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