Organization
BAYMEADOWS CHIROPRACTIC AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGOSTINHO OLIVEIRA DC (MGRM)
(904) 673-9691
Entity
Organization
Contact information
Practice address
8206 PHILIPS HWY, JACKSONVILLE, FL 32256-1220
(904) 673-9691
Mailing address
2220 COUNTY ROAD 210 W, SUITE 108, BOX 327, SAINT JOHNS, FL 32259-4058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9245
FL
111N00000X
Chiropractor
Primary
CH9601
FL
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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