Provider Demographics
NPI:1497486492
Name:NEXT LEVEL FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:NEXT LEVEL FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGRET
Authorized Official - Middle Name:
Authorized Official - Last Name:VELIJOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-429-7019
Mailing Address - Street 1:3100 US 1 S STE 4A
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-6310
Mailing Address - Country:US
Mailing Address - Phone:904-429-7019
Mailing Address - Fax:
Practice Address - Street 1:3100 US 1 S STE 4A
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-6310
Practice Address - Country:US
Practice Address - Phone:904-429-7019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1225777436OtherNPI