Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crg34Ah01 LLC

Organization Chiropractor · NPI 1265284574

Crg34Ah01 LLC is a Chiropractor in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 Southside Blvd Ste 202
Jacksonville, FL 32216-5488
Phone: (904) 503-1065
Fax: (904) 374-6075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Chiropractor Taxonomy 111N00000X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Orthopaedic Trauma Physician Taxonomy 207XX0801X
Brain Injury Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P0301X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1265284574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Morris — Manager · (904) 503-1065
Other names Medicus Spine & Joint
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address4540 Southside Blvd Ste 202, Jacksonville, FL 32216-5488

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