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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RONALD D FUDALA, DC,DACAN

Active Sole Proprietor

DR. RONALD D FUDALA, DC,DACAN is a Neurology (Chiropractor) healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1447362058 is currently active in the NPPES registry. Verify at CMS.

Neurology (Chiropractor) · SAINT AUGUSTINE, FL

Registration Details

NPI Number
1447362058
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.76941746912 yrs)
Last Updated
Feb 5, 2015
Licenses
1317 (OH)
CH10979 (FL)
Sole Proprietor
Yes

Practice Information

Address
1301 PLANTATION ISLAND DR S
SUITE 402 A
SAINT AUGUSTINE, FL, 320803108
Browse FL providers · Browse ZIP 32080
Phone
9044714744
Fax
9014714745
Primary Specialty
Neurology (Chiropractor)
111NN0400X
Additional Specialty
Neurology (Chiropractor)

Other Neurology (Chiropractor) Providers in SAINT AUGUSTINE, FL

Name Credential NPI
DR. J EDWARD HARTLEY DC 1750458378
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.