MRS. NATHALIE BLUM (NPI# 1962699199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962699199 |
| Entity Type | Individual |
| Full Name | MRS. NATHALIE BLUM |
| Other Name | NATHALIE SEIDE |
| Credential | D.C. |
| Practice Address |
12641 San Jose Blvd Jacksonville FL 32223 |
| Mailing Address |
848 Buckeye Ln W Saint Johns FL 32259-4387 |
| Practice Telephone | 9046066007 |
| Practice Fax Number | 9043768738 |
| Mailing Telephone | 9046066007 |
| Mailing Fax Number | 9043768738 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH9429 | FL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CH 9429 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6640 103rd St, Jacksonville, FL 322107150 | 9043176628 | 9043176625 |
| Street Address |
12641 SAN JOSE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922573161 | Family Focus Chiropractic LLC | Chiropractor | 12641 San Jose Blvd, Jacksonville, FL 32223-2646 | 2018-10-03 |
| 1295228039 | Dme Dc Provider LLC | Chiropractor | 12641 San Jose Blvd, Jacksonville, FL 32223-2646 | 2018-06-06 |
| 1578007696 | Christine Marie Pascual | Chiropractor | 12641 San Jose Blvd, Jacksonville, FL 32223-2646 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588261572 | Postural Chiropractic | Chiropractor | 4263 Losco Rd Apt 623, Jacksonville, FL 32257-1449 | 2020-10-03 |
| 1932729639 | Medicussx Spine & Joint, LLC | Chiropractor | 9191 R G Skinner Pkwy Unit 901, Jacksonville, FL 32256-9663 | 2020-04-22 |
| 1801425913 | Yale Gordon | Chiropractor | 6263 Philips Hwy, Jacksonville, FL 32216-6047 | 2020-04-02 |
| 1437787454 | Holly Ganley | Chiropractor | 12486 Weeping Branch Cir, Jacksonville, FL 32218-9602 | 2020-03-27 |
| 1093347767 | Jennifer Vannoy | Chiropractor | 6100 Greenland Rd Ste 101, Jacksonville, FL 32258-2624 | 2020-02-10 |
| 1831739317 | True Wellness Health Center | Chiropractor | 1124 Bahia Blanca St S, Jacksonville, FL 32256-7393 | 2020-01-13 |
| 1356981955 | Endeavor Health Center | Chiropractor | 13051 Gran Bay Pkwy Unit 1328, Jacksonville, FL 32258-6515 | 2020-01-10 |
| 1134762834 | Christina Salvia | Chiropractor | 11900 Atlantic Blvd Ste 226, Jacksonville, FL 32225-2942 | 2019-10-25 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on MRS. NATHALIE BLUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.