Provider Demographics
NPI:1013189372
Name:STARKEY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:STARKEY CHIROPRACTIC INC
Other - Org Name:STARKEY CHIROPRACTIC INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-278-8111
Mailing Address - Street 1:461 KINGSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4827
Mailing Address - Country:US
Mailing Address - Phone:904-278-8111
Mailing Address - Fax:904-278-5222
Practice Address - Street 1:461 KINGSLEY AVE
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4827
Practice Address - Country:US
Practice Address - Phone:904-278-8111
Practice Address - Fax:904-278-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7745261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH7745OtherSTATE OF FLORIDA
FL381465300Medicaid
FLK2557Medicare PIN
FLX75810Medicare UPIN