Stephen Renick Jr., D.C.
Chiropractor, Nutrition in Ocoee, FL. Individual provider (NPI-1).
NPI number1619976743
StatusActive
Last updated in NPPESMar 5, 2009
Details
- NPI
- 1619976743
- Entity type
- Individual (NPI-1)
- Name
- Stephen Renick Jr.
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2005
- Last updated
- Mar 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN1001X | Chiropractor, Nutrition | CH9701 | FL | Yes |
| 111NN1001X | Chiropractor, Nutrition | X2538 | NY |
Practice location
2658 Maguire RdOcoee, FL 34761-4752
Phone 407-877-2400 · Fax 407-877-0958
Mailing address
2658 Maguire RdOcoee, FL 34761-4752
Phone 407-877-2400 · Fax 407-877-0958
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