OrganizationActive
Fernandina Chiropractic Center, Inc
NPI 1104121011 · Chiropractor · Yulee, FL
Fernandina Chiropractic Center, Inc is a Chiropractor organization in Yulee, FL (NPI 1104121011).
Provider details
- NPI number
- 1104121011
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Bruce Glickman, Owner(904) 491-1345
- License
- CH-3341 (FL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
464073 State Road 200
Suite 4
Yulee, FL 32097-6307
Phone: (904) 491-1345
Fax: (904) 491-1346
Street-level locationGet directions
Mailing address
464073 State Road 200
Yulee, FL 32097-6307
Registry dates
- Enumerated
- 2011-01-24
- Last updated
- 2011-05-13
Frequently asked questions
- What is Fernandina Chiropractic Center, Inc's NPI number?
- Fernandina Chiropractic Center, Inc's National Provider Identifier (NPI) is 1104121011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fernandina Chiropractic Center, Inc?
- Fernandina Chiropractic Center, Inc is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Fernandina Chiropractic Center, Inc located?
- Fernandina Chiropractic Center, Inc's practice location on file with NPPES is 464073 State Road 200, Yulee, FL 32097-6307.
- What is Fernandina Chiropractic Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Fernandina Chiropractic Center, Inc is (904) 491-1345.
- Who is the authorized official for Fernandina Chiropractic Center, Inc?
- The authorized official listed on Fernandina Chiropractic Center, Inc's NPPES record is Bruce Glickman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fernandina Chiropractic Center, Inc's NPI active?
- Yes — Fernandina Chiropractic Center, Inc's NPI (1104121011) is active in the NPPES registry as of the last update on 2011-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.