Organization
ACTIVE CORPORATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID LIPP DC (PRESIDENT)
(904) 296-0202
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY, STE 303, JACKSONVILLE, FL 32216-6282
(904) 296-0202
Mailing address
6817 SOUTHPOINT PKWY, STE 303, JACKSONVILLE, FL 32216-6282
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
CH9014
FL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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