Advanced Chiropractic Life Center, INC
Point of Service in Ormond Beach, FL. Organization (NPI-2).
NPI number1144567751
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1144567751
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Chiropractic Life Center, INC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2013
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
801 W Granada Blvd Ste 101Ormond Beach, FL 32174-8279
Phone 386-673-2000 · Fax 386-673-2002
Mailing address
801 W Granada Blvd Ste 101Ormond Beach, FL 32174-8279
Phone 386-673-2000 · Fax 386-673-2002
Authorized official
Michael O'Connor
Director
3863385897
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