Individual
DR. BRENT VINCENT FRAGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4413 TOWN CENTER PKWY STE 205, JACKSONVILLE, FL 32246-8570
(904) 221-7799
Mailing address
3701 DANFORTH DR APT 1503, JACKSONVILLE, FL 32224-5231
(862) 354-1780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13292
FL
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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