Provider Demographics
NPI:1235784125
Name:VERA-MORALES, CHRISTHIAN LOUIS (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTHIAN
Middle Name:LOUIS
Last Name:VERA-MORALES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDWARDS CHRIOPRACTIC OFFICES P.A
Mailing Address - Street 2:4558 SAN JUAN AVE.
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-2051
Mailing Address - Country:US
Mailing Address - Phone:904-389-0667
Mailing Address - Fax:904-389-5871
Practice Address - Street 1:EDWARDS CHRIOPRACTIC OFFICES P.A
Practice Address - Street 2:4558 SAN JUAN AVE.
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2051
Practice Address - Country:US
Practice Address - Phone:904-389-0667
Practice Address - Fax:904-389-5871
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor