Neuro Diagnostic Centers INC.
Chiropractor, Independent Medical Examiner in Deltona, FL. Organization (NPI-2).
NPI number1164036901
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1164036901
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuro Diagnostic Centers INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NI0013X | Chiropractor, Independent Medical Examiner | – | – | Yes |
Practice location
766 Deltona BlvdDeltona, FL 32725-7107
Phone 862-437-5603 · Fax 386-259-5931
Mailing address
704 E Moody Blvd Unit 1742Bunnell, FL 32110-6122
Phone 386-243-7560
Authorized official
Steven W Oliver
Owner/Physician
3865696459
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