Organization
FORTITUDE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RAUCO DC (OWNER/PROVIDER)
(904) 316-3404
Entity
Organization
Contact information
Practice address
10915 BAYMEADOWS RD STE 104, JACKSONVILLE, FL 32256-9131
(904) 312-7575
Mailing address
4423 HUNTINGTON FOREST BLVD, JACKSONVILLE, FL 32257-7570
(904) 316-3404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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