Organization
GNV CHIRO PLLC
Active
Parent organization
GNV CHIRO PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GNV CHIRO PLLC
Authorized official
MR. JOSHUA M WILSON DC (OWNER/CHIROPRACTOR)
(352) 949-0843
Entity
Organization
Contact information
Practice address
5745 SW 75TH ST NUM 275, GAINESVILLE, FL 32608-5504
(352) 949-0843
Mailing address
5745 SW 75TH ST NUM 275, GAINESVILLE, FL 32608-5504
(352) 949-0843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104032700
—
FL
Enumeration date
05/29/2020
Last updated
06/01/2020
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