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Organization

ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS A. KISKA D.C., D.A.C.B.N. (PRESIDENT)
(904) 249-5999
Entity
Organization

Contact information

Practice address
440 3RD ST, SUITE A, NEPTUNE BEACH, FL 32266-5111
(904) 249-5999
(904) 249-1768
Mailing address
440 3RD ST, SUITE A, NEPTUNE BEACH, FL 32266-5111
(904) 249-5999
(904) 249-1768

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MM13448
FL

Other

Enumeration date
12/12/2006
Last updated
06/16/2008
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