Organization
A-Z GONSTEAD CHIROPRACTIC CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEBOYE ARCHELL DOCTOR D.C., (CEO AND CLINIC DIRECTOR)
(904) 350-3737
Entity
Organization
Contact information
Practice address
1833 N PEARL ST, JACKSONVILLE, FL 32206-3663
(904) 350-3737
(904) 358-7749
Mailing address
1833 N PEARL ST, JACKSONVILLE, FL 32206-3663
(904) 350-3737
(904) 358-7749
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609075373
NPI
FL
05
—
382222200
—
FL
Enumeration date
01/29/2009
Last updated
02/23/2009
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