FORT CAROLINE CLINIC OF CHIROPRACTIC
NPI 1104497361
Chiropractor in Jacksonville, FL

Active since July 08, 2021
12086 FORT CAROLINE RD STE 302, JACKSONVILLE, FL 32225(904) 902-4325 Get Directions Write a Review

NPPES record last updated: August 21, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2021, Jul 12, 2021, Jul 8, 2021 (3 updates tracked since 2021).

About Fort Caroline Clinic Of Chiropractic NPPES

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

FORT CAROLINE CLINIC OF CHIROPRACTIC (NPI 1104497361) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since July 2021. The organization lists Jeremy Brubaker, Member, as its authorized official.

NPPES Registry Identity

NPI1104497361
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFORT CAROLINE CLINIC OF CHIROPRACTIC
Location Address12086 FORT CAROLINE RD STE 302Jacksonville, FL 32225-7639
Mailing Address14097 Pine Island DrJacksonville, FL 32224-3110 · (814) 590-4411
Organization SubpartNo
Authorized OfficialJeremy BrubakerMember · (814) 590-4411
Enumeration DateJuly 8, 2021
Last NPPES UpdateAugust 21, 20213 updates tracked since enumeration
NPPES CertifiedAugust 21, 2021
NPI 1104497361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
12086 FORT CAROLINE RD STE 302, Jacksonville, FL 32225

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 3

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

Chiropractor
12086 FORT CAROLINE RD STE 302
JACKSONVILLE, FL 32225
Chiropractor
12086 FORT CAROLINE RD STE 302
JACKSONVILLE, FL 32225
Chiropractor
12086 FORT CAROLINE RD STE 302
JACKSONVILLE, FL 32225

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 Fort Caroline Clinic Of Chiropractic's NPI number?

The NPI number for Fort Caroline Clinic Of Chiropractic is 1104497361. It was assigned to this organization in the NPPES registry on July 8, 2021.

Where is Fort Caroline Clinic Of Chiropractic located?

Fort Caroline Clinic Of Chiropractic is located at 12086 Fort Caroline Rd Ste 302, Jacksonville, FL 32225. The listed phone number is (904) 902-4325.

What is Fort Caroline Clinic Of Chiropractic'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 Fort Caroline Clinic Of Chiropractic was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.