Organization
JAYNE KWIATKOWSKI LLC
Active
Organization
JAYNE KWIATKOWSKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE KWIATKOWSKI DC (OWNER/MGR)
(386) 872-5323
Entity
Organization
Contact information
Practice address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
(386) 872-5323
Mailing address
1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL 32174-8104
(386) 872-5323
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH9417
FL
Other
Enumeration date
07/28/2014
Last updated
02/26/2020
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