Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366775124 Individual Practitioner Female Practitioner

Dr. Vanessa Jaclyn Wilczak , DC

Chiropractor • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Vanessa Wilczak, DC is a registered healthcare professional specializing in Chiropractor in Jacksonville, FL. Practice services are available at 10550 DEERWOOD PARK BLVD STE 609A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10550 Deerwood Park Blvd Ste 609a

Jacksonville, FL 322560596

Telephone 9045133954
Fax 9042120223
Associated Practice Facility / Clinic
🏢 East Coast Neuro Llc Facility NPI 1124424643

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
262 Specialists

Practicing in Jacksonville, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH9776

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License NY X011698

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License MO 2009008265

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Lindsey Dell

Physical Therapy Assistant

NPI 1013614700
Bianca Simmons , LMT

Massage Therapist

NPI 1043952435

Licensed Massage Therapist

Mohammed Ata

Physical Therapist

NPI 1053971119
Stephen Ashley , LMT

Massage Therapist

NPI 1073202313

Licensed Massage Therapist

Elena Telichko , LMT

Massage Therapist

NPI 1083385652

Licensed Massage Therapist

Breanna Decker

Physical Therapy Assistant

NPI 1174293534

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 18, 2024

Registered at 10550 DEERWOOD PARK BLVD STE 609A, JACKSONVILLE, FL 322560596 (Tel: 9045133954)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Chiropractor (License #X011698 in NY)

NPI Profile Active September 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2009

Registered at 1564 KINGSLEY AVE, CLAY PAIN CENTER, ORANGE PARK, FL 320734511 (Tel: 9042640400)

📍
Updated Business Mailing Address September 11, 2009

Registered at 4831 FLORIDA CLUB CIR APT 2203, JACKSONVILLE, FL 322161088 (Tel: 9042640400)

👤
Provider Name / Credentials Updated September 11, 2009

Recorded as VANESSA WILCZAK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2009

Chiropractor (License #CH9776 in FL)

🟢
Initial NPI Registration & Enumeration September 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366775124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2009
Last Update: November 18, 2024
Sole Proprietor: No

Mailing Address

4831 Florida Club Cir Apt 2203

Jacksonville, FL 322161088

Phone: 9042640400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.