Organization
8 FLAGS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYDE GRAY DC (CO-OWNER)
(904) 775-8949
Entity
Organization
Contact information
Practice address
5211 SOUTH FLETCHER AVE., SUITE 250, AMELIA ISLAND, FL 32034
(904) 775-8949
Mailing address
5211 SOUTH FLETCHER AVE., SUITE 250, AMELIA ISLAND, FL 32034
(904) 775-8949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH11736
FL
111N00000X
Chiropractor
Primary
CH11739
FL
111N00000X
Chiropractor
CH12047
FL
Other
Enumeration date
12/13/2016
Last updated
01/08/2018
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