Organization
CHIROCURE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO COSIO D.C. (CHIROPRACTIC PHYSICIAN)
(904) 616-8454
Entity
Organization
Contact information
Practice address
8833 PERIMETER PARK BLVD, SUITE 102, JACKSONVILLE, FL 32216-1109
(904) 616-8454
Mailing address
8833 PERIMETER PARK BLVD, SUITE 102, JACKSONVILLE, FL 32216-1109
(904) 616-8454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH10964
INDIVIDUAL MEDICAL LICENSE
FL
Enumeration date
06/03/2016
Last updated
06/03/2016
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