Organization
BLUE ANGEL FAMILY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AARON FONTZ D.C. (PRESIDENT)
(850) 453-2211
Entity
Organization
Contact information
Practice address
5700 N BLUE ANGEL PKWY, PENSACOLA, FL 32526-1620
(850) 453-2211
(850) 453-3366
Mailing address
5700 N BLUE ANGEL PKWY, PENSACOLA, FL 32526-1620
(850) 453-2211
(850) 453-3366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74785
BLUE CROSS GROUP NUMBER
FL
Enumeration date
12/28/2006
Last updated
04/09/2008
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