Spinally360, Llc is a
Clinic/center - Multi-specialty based in Orange Park, Florida. Spinally360, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1542 Kingsley Ave Ste 143, Orange Park, Florida. It can be reached at their office (for appointments etc.) via phone at
(904) 800-7843.
NPI number for Spinally360, Llc is 1578415436 and their current mailing address is 1542 Kingsley Ave Ste 143, Orange Park, Florida. Spinally360, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578415436.
Healthcare Provider's Profile
| Full Name | Spinally360, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 1542 Kingsley Ave Ste 143, Orange Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578415436
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Spinally360, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578415436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spinally360, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Spinally360, Llc
1542 Kingsley Ave Ste 143,
Orange Park, FL 32073-4547
Ph: (904) 800-7843 | Spinally360, Llc
1542 Kingsley Ave Ste 143,
Orange Park, FL 32073-4547
Ph: (904) 800-7843 |
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