Organization
JAY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD JOSEPH KEENUM D.C. (OWNER/CHIROPRACTIC PHYSICIAN)
(850) 675-6886
Entity
Organization
Contact information
Practice address
5035 SAINTS LN, MILTON, FL 32570-4046
(850) 748-0740
(850) 675-6886
Mailing address
3927 HIGHWAY 4, JAY, FL 32565-1752
(850) 675-6886
(850) 675-6886
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CH0009285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88206
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
02/07/2012
Last updated
02/07/2012
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