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Organization

CHANATRYDC, LLC

Active
Other names
Chanatry Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL C. CHANATRY D.C. (OWNER)
(904) 257-3767
Entity
Organization

Contact information

Practice address
2711 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3235
(904) 743-6700
(904) 745-9101
Mailing address
2711 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3235
(904) 743-6700
(904) 743-9101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10814
FL
111N00000X
Chiropractor
Primary
111NR0400X
Rehabilitation Chiropractor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881932754
INDIVIDUAL NPI
FL
Enumeration date
03/01/2013
Last updated
04/10/2023
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