Organization
PATRICK J. OPACHICH, D.C.P.A.
Active
Parent organization
PATRICK J. OPACHICH, D.C.P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATRICK J. OPACHICH, D.C.P.A.
Authorized official
DR. PATRICK JOHNNY OPACHICH D.C. (PRESIDENT)
(904) 387-4151
Entity
Organization
Contact information
Practice address
1610 BLANDING BLVD, JACKSONVILLE, FL 32210-1804
(904) 387-4151
(904) 389-8864
Mailing address
1610 BLANDING BLVD, JACKSONVILLE, FL 32210-1804
(904) 387-4151
(904) 389-8864
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
CH4041
FL
111NX0800X
Orthopedic Chiropractor
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381306100
—
FL
Enumeration date
05/04/2011
Last updated
02/18/2021
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