NPI 1114348364 · live from the CMS NPI Registry
Ace Diagnostics LLC
Chiropractor, Neurology in Jacksonville, FL. National Provider Identifier 1114348364, active.
NPI record
| NPI | 1114348364 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Neurology 111NN0400X |
| Practice location | 7835 Chase Meadows Dr E, Jacksonville, FL 32256 |
| Practice phone | 315-254-8495 |
| Mailing address | Po Box 550732, Jacksonville, FL 32255 |
| Enumerated | December 13, 2013 |
| Last updated | December 13, 2013 |
| Authorized official | Vanessa Wilczak, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Neurology primary | 111NN0400X | CH9776 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.