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Individual

DR. JACK JOSEPH CACIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
17 N H ST, LAKE WORTH, FL 33460-3701
(561) 547-2210
(561) 547-6689
Mailing address
17 N H ST, LAKE WORTH, FL 33460-3701
(561) 547-2210
(561) 547-6689

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH7724
FL
111NS0005X
Sports Physician Chiropractor
CH7724
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54015
BCBS
FL
Enumeration date
06/06/2007
Last updated
09/11/2025
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