Organization
BREAKTHROUGH HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL M HAAS D.C. (OWNER)
(904) 260-1993
Entity
Organization
Contact information
Practice address
11481 OLD SAINT AUGUSTINE RD, 405, JACKSONVILLE, FL 32258-1473
(904) 260-1993
(904) 260-6452
Mailing address
11481 OLD SAINT AUGUSTINE RD, 405, JACKSONVILLE, FL 32258-1473
(904) 260-1993
(904) 260-6452
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH2929
FL
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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