Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Full Bloom Chiropractic Corp

Organization Chiropractor · NPI 1144460726

Full Bloom Chiropractic Corp provides Chiropractor services 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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