Provider Demographics
NPI:1235539313
Name:AMAZING SPINE CARE
Entity Type:Organization
Organization Name:AMAZING SPINE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHIGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-701-3916
Mailing Address - Street 1:6320 SAINT AUGUSTINE RD
Mailing Address - Street 2:STE. 10
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2800
Mailing Address - Country:US
Mailing Address - Phone:904-701-3916
Mailing Address - Fax:
Practice Address - Street 1:6320 SAINT AUGUSTINE RD STE 10
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-2813
Practice Address - Country:US
Practice Address - Phone:904-701-3916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty