Organization
EDWARDS CHIROPRATIC OFFICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN EDWARDS D.C. (OWNER)
(904) 389-0667
Entity
Organization
Contact information
Practice address
4558 SAN JUAN AVE, JACKSONVILLE, FL 32210-2051
(904) 389-0667
(904) 389-5871
Mailing address
4558 SAN JUAN AVE, JACKSONVILLE, FL 32210-2051
(904) 389-0667
(904) 389-5871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72175
MEDICARE
FL
Enumeration date
08/05/2007
Last updated
07/01/2013
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