Fernandina Chiropractic Center, Inc

Fernandina Chiropractic Center, Inc is a healthcare organization registered as Chiropractor in Yulee, FL, holding Type 2 (organization) NPI 1104121011 since 2011. The authorized official on file is Bruce Glickman, Owner.

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NPI	1104121011
Entity type	Organization (Type 2)
Legal business name	Fernandina Chiropractic Center, Inc
Practice address	464073 STATE ROAD 200, SUITE 4, Yulee, FL, 32097
Phone	9044911345
Fax	9044911346
Enumeration date	2011-01-24
Last updated in NPPES	2011-05-13

Authorized official

Name	Bruce Glickman
Title	Owner
Phone	9044911345

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
111N00000X	Chiropractor	Primary	CH-3341	FL

Copy-ready billing details

Provider: Fernandina Chiropractic Center, Inc
NPI: 1104121011
Taxonomy: 111N00000X (Chiropractor)
Address: 464073 STATE ROAD 200, SUITE 4, Yulee, FL, 32097

Providers at this address

NPI	Name	Type	Specialty	Location
1750865317	Carley Sheppard	Individual	Behavior Analyst	Yulee, FL
1083186183	Lara Raulerson	Individual	Behavior Analyst	Yulee, FL
1356917629	Progressus Therapy, LLC	Organization	Behavior Analyst	Yulee, FL
1295301281	Suncoast Therapy, LLC	Organization	Speech-Language Pathologist	Yulee, FL

Verify this record

Cross-check NPI 1104121011 against the authoritative CMS record: view Fernandina Chiropractic Center, Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-13. Verify at npiregistry.cms.hhs.gov.

Where is Fernandina Chiropractic Center, Inc located?

The practice location on file with NPPES is in Yulee, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-13.