| NPI | 1255622049 |
|---|---|
| Doing Business As | JACKSONVILLE SPORT & SPINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NATHAN MCDANIELS Doctor/Owner 904-375-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9367) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2017-05-24 |