Organization
DME DC PROVIDER LLC
Active
Other names
Medical Bracing Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHALIE BLUM DC (OWNER)
(904) 477-6644
Entity
Organization
Contact information
Practice address
12641 SAN JOSE BLVD, JACKSONVILLE, FL 32223-2646
(904) 606-6007
(904) 376-8738
Mailing address
848 BUCKEYE LN W, SAINT JOHNS, FL 32259-4387
(904) 477-6644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9429
FL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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