Organization
HAVLICEK CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY HAVLICEK D.C. (PRESIDENT)
(904) 515-2225
Entity
Organization
Contact information
Practice address
2085 A1A S STE 103, ST AUGUSTINE, FL 32080-6505
(904) 522-2515
(904) 515-2235
Mailing address
2085 A1A S STE 103, ST AUGUSTINE, FL 32080-6505
(904) 515-2225
(904) 515-2235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
08/07/2014
Last updated
10/02/2020
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