Provider Demographics
NPI:1669641452
Name:ARNDT, BRYCE DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:DAVID
Last Name:ARNDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10915 BAYMEADOWS RD
Mailing Address - Street 2:STE 104
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9130
Mailing Address - Country:US
Mailing Address - Phone:904-683-6924
Mailing Address - Fax:904-379-3988
Practice Address - Street 1:10915 BAYMEADOWS RD
Practice Address - Street 2:STE 104
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9130
Practice Address - Country:US
Practice Address - Phone:904-683-6924
Practice Address - Fax:904-379-3988
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3871111N00000X
FLCH10815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4276931Medicare UPIN