Provider Demographics
NPI:1598992240
Name:FOLAND CHIROPRACTIC & SPA, INC.
Entity Type:Organization
Organization Name:FOLAND CHIROPRACTIC & SPA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:FOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-288-8993
Mailing Address - Street 1:12428 SAN JOSE BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-8616
Mailing Address - Country:US
Mailing Address - Phone:904-288-8993
Mailing Address - Fax:904-288-8995
Practice Address - Street 1:12428 SAN JOSE BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-8616
Practice Address - Country:US
Practice Address - Phone:904-288-8993
Practice Address - Fax:904-288-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU86028Medicare UPIN