Simon Chiropractic Studio LLC
Chiropractor in Bradenton, FL. Organization (NPI-2).
NPI number1649908047
StatusActive
Last updated in NPPESAug 12, 2022
Details
- NPI
- 1649908047
- Entity type
- Organization (NPI-2)
- Legal business name
- Simon Chiropractic Studio LLC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2022
- Certification date
- Aug 12, 2022
- Last updated
- Aug 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
5715 Cortez Rd WBradenton, FL 34210-2702
Phone 941-345-4205
Mailing address
6504 Clemson StBradenton, FL 34207-5622
Phone 941-526-5383
Authorized official
Stacy Lynne Simon
Chiropractor
9413454205
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