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Charles D Martin JR., DC
Chiropractor in Edgewater, Florida
NPI 1336234137

Charles D Martin JR. is a Chiropractor based in Edgewater, FL. Charles D Martin JR. practices in Edgewater, FL and has the professional credentials of DC. The NPI Number for Charles D Martin JR. is 1336234137 and holds a License No. CH3303 (Florida).

The current practice location address for Charles D Martin JR. is 2568 S Ridgewood Ave, Edgewater, FL and can be reached out via phone at 386-427-8403.

Location: 2568 S Ridgewood Ave, Edgewater, FL, 32141-5980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336234137
Provider Name
Charles D Martin JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2568 S Ridgewood Ave, Edgewater, FL, 32141-5980
Phone Number
386-427-8403
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AD239 01 FL MEDICARE GROUP ID
88572 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
2568 S Ridgewood Ave
City
Edgewater
State
Florida
Zip
32141-5980
Phone Number
386-427-8403
Fax Number
person
Provider Business Mailing Address Details
Address
2568 S Ridgewood Ave
City
Edgewater
State
Florida
Zip
32141-5980
Phone Number
386-427-8403
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH3303 (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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