Wayne Gordon D.C.

NPI 1003952573 - Chiropractor - 111N00000X

NPI Details
NPI 1003952573
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/10/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
390 9TH AVE N
JACKSONVILLE BEACH FL, 32250-5743, US
Phone (770) 633-3419
Fax
Business Location
390 9TH AVE N
JACKSONVILLE BEACH FL, 32250-5743, US
Phone (770) 633-3419
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH9576
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According to our database, Dr. Wayne Gordon D.C. NPI is 1003952573, taxonomy code is 111N00000X and license number is CH9576, license state is located at Florida. Wayne Gordon D.C. physically located at 390 9th Ave N, Jacksonville Beach FL, 32250-5743. NPI Number Wayne Gordon D.C. has the Individual type.

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1003952573 NPI number is provided on an as is basis without warranty of any kind. 1003952573 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Gordon D.C. are for informational purposes only.