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CLEARLY GRACE CONCIERGE CHIROPRACTIC LLC. NPI 1629615356


NPI Information

NPI: 1629615356
Provider Name: CLEARLY GRACE CONCIERGE CHIROPRACTIC, LLC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
8009 GLASTONBURY PL
MELBOURNE, FL
ZIP 32940
Phone: (321) 265-4465
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CLEARLY GRACE CONCIERGE CHIROPRACTIC, LLC. is a health service clinic center in Melbourne, FL. CLEARLY GRACE CONCIERGE CHIROPRACTIC, LLC. NPI is 1629615356. The provider is registered as an organization entity type.

The provider's business location address is:

8009 GLASTONBURY PL
MELBOURNE, FL
ZIP 32940-141
Phone: (321) 265-4465

The provider's authorized official is Alycia Bowles .
The authorized official title is Chiropractor and has the following contact phone number (321) 265-4465.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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