Somersall Chiropractic LLC
Clinic/Center in Palm Bay, FL. Organization (NPI-2).
NPI number1760624563
StatusActive
Last updated in NPPESMar 26, 2009
Details
- NPI
- 1760624563
- Entity type
- Organization (NPI-2)
- Legal business name
- Somersall Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2009
- Last updated
- Mar 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | CH9654 | FL | Yes |
Practice location
4670 Babcock St NeSuite 5
Palm Bay, FL 32905-2841
Phone 321-821-7866
Mailing address
4670 Babcock St NeSuite 5
Palm Bay, FL 32905-2841
Phone 321-821-7866
Authorized official
Mia Somersall Hosey
Member
3215065462
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