Provider Demographics
NPI:1578007696
Name:PASCUAL, CHRISTINE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 KENT RD
Mailing Address - Street 2:STE 1A
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-6485
Mailing Address - Country:US
Mailing Address - Phone:904-999-7873
Mailing Address - Fax:904-683-4871
Practice Address - Street 1:150 KENT RD STE 1A
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-6485
Practice Address - Country:US
Practice Address - Phone:917-673-6847
Practice Address - Fax:904-683-4871
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor