Bennett Chiropractic Clinic INC
Chiropractor in Port Orange, FL. Organization (NPI-2).
NPI number1346351244
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346351244
- Entity type
- Organization (NPI-2)
- Legal business name
- Bennett Chiropractic Clinic INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH5081 | FL | Yes |
Practice location
3945 South Nova RoadPort Orange, FL 32127
Phone 386-767-1100 · Fax 386-767-1103
Mailing address
3945 South Nova RoadPort Orange, FL 32127
Phone 386-767-1100 · Fax 386-767-1103
Authorized official
Carl Henry Bennett
Owner President
3867671100
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