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

Grace Spine LLC

Organization Chiropractor · NPI 1720901960

Grace Spine LLC is a Chiropractor in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

7685 103rd St Ste 101
Jacksonville, FL 32210-9325
Phone: (314) 629-5794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1720901960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Goodman — Owner · (314) 629-5794
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address27 Walnut Knoll Ct, Saint Charles, MO 63304-4549

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