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Organization

D.C. DEWEESE, P.A.

Active
Other names
Northside Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMON CHRIS DEWEESE D.C. (DOCTOR)
(904) 757-4786
Entity
Organization

Contact information

Practice address
1312 DUNN AVE, JACKSONVILLE, FL 32218-4836
(904) 757-4786
(904) 757-4882
Mailing address
1312 DUNN AVE, JACKSONVILLE, FL 32218-4836
(904) 757-4786
(904) 757-4882

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8089
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381586200
FL
Enumeration date
08/28/2007
Last updated
03/19/2014
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