Provider Demographics
NPI:1457610636
Name:ACCURATE HEALTHCARE PALM COAST LLC
Entity Type:Organization
Organization Name:ACCURATE HEALTHCARE PALM COAST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:STITELER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-427-2722
Mailing Address - Street 1:401 CANAL STREET
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-7009
Mailing Address - Country:US
Mailing Address - Phone:386-427-2722
Mailing Address - Fax:386-427-2733
Practice Address - Street 1:140 PINNACLES DRIVE
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2322
Practice Address - Country:US
Practice Address - Phone:386-437-9997
Practice Address - Fax:386-427-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty