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Tiffany Nicole Moulterie, DC
Chiropractor in Jacksonville, Florida
NPI 1295171361

Tiffany Nicole Moulterie is a Chiropractor based in Jacksonville, FL. Tiffany Nicole Moulterie practices in Jacksonville, FL and has the professional credentials of DC. The NPI Number for Tiffany Nicole Moulterie is 1295171361 and holds a License No. CH 10787 (Florida).

The current practice location address for Tiffany Nicole Moulterie is 1660 Blanding Blvd, Jacksonville, FL and can be reached out via phone at 904-389-3811.

Location: 1660 Blanding Blvd, Jacksonville, FL, 32206-2958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295171361
Provider Name
Tiffany Nicole Moulterie
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1660 Blanding Blvd, Jacksonville, FL, 32206-2958
Phone Number
904-389-3811
Fax Number
Provider Enumeration Date
05/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008954000 05 FL
institution
Provider Business Practice Location Address Details
Address
1660 Blanding Blvd
City
Jacksonville
State
Florida
Zip
32210-1835
Phone Number
904-389-3811
Fax Number
person
Provider Business Mailing Address Details
Address
1660 Blanding Blvd
City
Jacksonville
State
Florida
Zip
32210-1835
Phone Number
904-389-3811
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH 10787 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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