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Dr. Dustin James Tanner, DC
Chiropractor in St Augustine, Florida
NPI 1790012201

Dustin James Tanner is a Chiropractor based in St Augustine, FL. Dustin James Tanner practices in St Augustine, FL and has the professional credentials of DC. The NPI Number for Dustin James Tanner is 1790012201 and holds a License No. CH 10578 (Florida).

The current practice location address for Dustin James Tanner is 2200 N Ponce De Leon Blvd, St Augustine, FL and can be reached out via phone at 904-819-9110 and via fax at 904-819-9310.

Location: 2200 N Ponce De Leon Blvd, St Augustine, FL, 32084-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790012201
Provider Name
Dustin James Tanner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2200 N Ponce De Leon Blvd, St Augustine, FL, 32084-2600
Phone Number
904-819-9110
Fax Number
904-819-9310
Provider Enumeration Date
11/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 N Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-2600
Phone Number
904-819-9110
Fax Number
904-819-9310
person
Provider Business Mailing Address Details
Address
2200 N Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-2600
Phone Number
904-819-9110
Fax Number
904-819-9310
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH 10578 (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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