Organization
CAPITAL CHIROPRACTIC & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE WAKULA (OFFICE MANAGER)
(772) 263-1642
Entity
Organization
Contact information
Practice address
2910 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4408
(772) 546-9591
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
(772) 546-9535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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