Individual
DR. GERARD KEVIN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2765 REBECCA LN, STE. D, ORANGE CITY, FL 32763-8326
(386) 775-1422
(386) 775-1415
Mailing address
2765 REBECCA LN, SUITE D, ORANGE CITY, FL 32763-8326
(386) 775-1422
(386) 775-1415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000043400
—
FL
Enumeration date
03/19/2007
Last updated
05/15/2014
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