| NPI | 1982357257 |
|---|---|
| Doing Business As | FRESH START HEALTH (DBA: DCOA, ST. AUG) |
| Entity Type | Organization |
| Authorized Contact | FOSTER JAMES CULLUM Owner 904-217-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |