Organization
BRACKEN FAMILY CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACI L BRACKEN DC (OWNER)
(904) 213-9805
Entity
Organization
Contact information
Practice address
155 BLANDING BLVD, SUITE 8, ORANGE PARK, FL 32073-2630
(904) 213-9805
(904) 213-9806
Mailing address
155 BLANDING BLVD, SUITE 8, ORANGE PARK, FL 32073-2630
(904) 213-9805
(904) 213-9806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8596
FL
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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