Organization
DR.JESUS CHIROPRACTIC LLC
Active
Organization
DR.JESUS CHIROPRACTIC LLC
Active
Other names
Reborn Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS JESUS RODRIGUEZ DC (MANAGER)
(787) 564-0897
Entity
Organization
Contact information
Practice address
6216 SAUTERNE DR, JACKSONVILLE, FL 32210-7729
(904) 999-9910
Mailing address
7785 POINT VICENTE CT, JACKSONVILLE, FL 32256-7733
(787) 564-0897
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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