Organization
ST. JOHNS CHIROPRACTIC & NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY L JOHN D.C. (PRESIDENT)
(904) 272-5855
Entity
Organization
Contact information
Practice address
35 KNIGHT BOXX RD, SUITE 3, ORANGE PARK, FL 32065-8053
(904) 272-5855
(904) 272-5857
Mailing address
35 KNIGHT BOXX RD, SUITE 3, ORANGE PARK, FL 32065-8053
(904) 272-5855
(904) 272-5857
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH9007
FL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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