Provider Demographics
NPI:1700964012
Name:CASTELLI CHIROPRACTIC CENTER, LLC
Entity type:Organization
Organization Name:CASTELLI CHIROPRACTIC CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CASTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-854-9353
Mailing Address - Street 1:12187 BEACH BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-0620
Mailing Address - Country:US
Mailing Address - Phone:904-854-9353
Mailing Address - Fax:904-212-2727
Practice Address - Street 1:12187 BEACH BLVD STE 1
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-0620
Practice Address - Country:US
Practice Address - Phone:904-854-9353
Practice Address - Fax:904-212-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty