Serenity Source Chiropractic

Chiropractor · Blue Point, NY

Organization Active NPI

NPI number 1700156643

Practice location

18 Weeks St
Suite a
Blue Point, NY 11715-1513
Phone
(904) 290-1846
Fax
(904) 417-7177

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NPI record

NPI
1700156643
Entity type
Organization (Type 2)
Enumeration date
January 10, 2012
Last updated
January 10, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 70 008936 NY

Mailing address

52 Tuscan Way
Suite 202-148
St Augustine, FL 32092-1850
Phone
(904) 290-1846
Fax
(904) 417-7177

Authorized official

Name
Dr. Joseph Labbadia, DC
Title
Vice President
Phone
(904) 290-1846

About Serenity Source Chiropractic

Serenity Source Chiropractic is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 18 Weeks St, Suite a, Blue Point, NY 11715-1513. The NPI number 1700156643 was assigned on January 10, 2012 and the record was last updated on January 10, 2012.

Serenity Source Chiropractic lists a license in the registry: #70 008936 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Joseph Labbadia, DC, Vice President.

Frequently asked questions

What is the NPI number of Serenity Source Chiropractic?

The NPI number is 1700156643.

What is the phone number of Serenity Source Chiropractic?

The phone number listed for the practice location is (904) 290-1846.

Where is Serenity Source Chiropractic located?

18 Weeks St, Suite a, Blue Point, NY 11715-1513.

What is the taxonomy code for Serenity Source Chiropractic?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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