Provider Demographics
NPI:1245788371
Name:VOYAGE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:VOYAGE CHIROPRACTIC LLC
Other - Org Name:VOYAGE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-240-4823
Mailing Address - Street 1:11516 SAN JOSE BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-7237
Mailing Address - Country:US
Mailing Address - Phone:904-240-4823
Mailing Address - Fax:904-419-7200
Practice Address - Street 1:11516 SAN JOSE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-7237
Practice Address - Country:US
Practice Address - Phone:904-240-4823
Practice Address - Fax:904-419-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11943111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty