Organization
FORT CAROLINE CLINIC OF CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY E BRUBAKER DC (MEMBER)
(904) 419-8898
Entity
Organization
Contact information
Practice address
12086 FORT CAROLINE RD STE 302, JACKSONVILLE, FL 32225-7639
(904) 902-4325
Mailing address
14097 PINE ISLAND DR, JACKSONVILLE, FL 32224-3110
(814) 590-4411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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