| Spinally360, LLC | |
|
1542 Kingsley Ave Ste 143 Orange Park FL 32073-4547 | |
| (904) 800-7843 | |
| (324) 202-2375 |
| Full Name | Spinally360, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1542 Kingsley Ave Ste 143, Orange Park, Florida |
| Authorized Official Name and Position | Marcda Erneza Hilaire Brunot (CEO) |
| Authorized Official Contact | 9048007843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 |
| NPI Number | 1578415436 |
|---|---|
| Provider Enumeration Date | 02/12/2026 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578415436 | NPI | - | NPPES |
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