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FERNANDINA CHIROPRACTIC CENTER, INC
NPI 1104121011
Chiropractor in Yulee, FL

Active since January 24, 2011
464073 STATE ROAD 200, SUITE 4, YULEE, FL 32097(904) 491-1345(904) 491-1346 Get Directions Write a Review

NPPES record last updated: May 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fernandina Chiropractic Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERNANDINA CHIROPRACTIC CENTER, INC (NPI 1104121011) is a healthcare organization registered as a chiropractor in Yulee, Florida and active in the NPI registry since January 2011. The organization lists Bruce Steven Glickman, Owner, as its authorized official.

NPPES Registry Identity

NPI1104121011
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFERNANDINA CHIROPRACTIC CENTER, INC
Location Address464073 STATE ROAD 200, SUITE 4Yulee, FL 32097-6307
Mailing Address464073 State Road 200, Suite 4Yulee, FL 32097-6307 · (904) 491-1345 · Fax (904) 491-1346
Phone(904) 491-1345
Fax(904) 491-1346
Organization SubpartNo
Authorized OfficialBruce Steven GlickmanOwner · (904) 491-1345
Enumeration DateJanuary 24, 2011
Last NPPES UpdateMay 13, 2011
✔ NPI 1104121011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH-3341
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.
464073 STATE ROAD 200, Yulee, FL 32097
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARA ANNAMARIE RAULERSON RBT
Behavior Analyst
464073 STATE ROAD 200
YULEE, FL 32097
Nassau County (800) 356-4049
SUNCOAST THERAPY, LLC
Speech-Language Pathologist
464073 STATE ROAD 200
YULEE, FL 32097
Nassau County (941) 485-0121
PROGRESSUS THERAPY, LLC
Behavior Analyst
464073 STATE ROAD 200
YULEE, FL 32097
Nassau County (800) 356-4049
CARLEY J SHEPPARD MS, BCBA
Behavior Analyst
464073 STATE ROAD 200
YULEE, FL 32097
Nassau County (800) 356-4049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fernandina Chiropractic Center, Inc's NPI number?

The NPI number for Fernandina Chiropractic Center, Inc is 1104121011. It was assigned to this organization in the NPPES registry on January 24, 2011.

Where is Fernandina Chiropractic Center, Inc located?

Fernandina Chiropractic Center, Inc is located at 464073 State Road 200 Suite 4, Yulee, FL 32097. The listed phone number is (904) 491-1345.

What is Fernandina Chiropractic Center, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Fernandina Chiropractic Center, Inc was last updated on May 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.