BRACKEN FAMILY CHIROPRACTIC CENTER PA
Chiropractic at Blanding Blvd, Orange Park, FL

License number
Florida CH8596
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. STACI L BRACKEN DC
Title: OWNER
Phone: (904) 213-9805
Address
Address
155 Blanding Blvd SUITE 8, Orange Park, FL 32073
National Provider ID: 1518169309
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRACKEN FAMILY CHIROPRACTIC CENTER, PA

Orange Park, FL

Registration:
Feb 22, 2006
Addresses:
155-8 Blanding Blvd, Orange Park, FL 32073 (Physical)
155 Blanding Blvd, Orange Park, FL 32073
State ID:
P06000026225
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Staci Ldc Bracken (President, Treasurer, Secretary, Director), 155-8 Blanding Blvd, Orange Park, FL 32073 (Physical)
Agent:
Staci Bracken,155-8 Blanding Blvd, Orange Park, FL 32073 (Physical)
EIN:
204368398

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