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

Full Bloom Chiropractic Corp

Organization Chiropractor · NPI 1144460726

Full Bloom Chiropractic Corp is a Chiropractor in St Augustine, Florida. Licensed in New Mexico. Registered with an NPI since 2009.

Licensed in
NM
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Land Grant St Ste 3
St Augustine, FL 32092-3845
Phone: (904) 481-8552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1696 (NM)

Record details

NPI number1144460726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Gutierrez — President · (904) 481-8552
NPI enumeratedFebruary 23, 2009
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address115 Land Grant St Ste 3, St Augustine, FL 32092-3845

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