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Chiro-Medical Of South Orlando, INC

Chiropractor in Orlando, FL. Organization (NPI-2).

NPI number1891027595
StatusActive
Last updated in NPPESFeb 4, 2010

Details

NPI
1891027595
Entity type
Organization (NPI-2)
Legal business name
Chiro-Medical Of South Orlando, INC
Organization subpart
No
Enumeration date
Feb 4, 2010
Last updated
Feb 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH5659FLYes
111N00000X ChiropractorCH8212FL
111N00000X ChiropractorCH4734FL

Practice location

5533 S Orange Ave
Orlando, FL 32809-3492

Phone 561-367-1333 · Fax 561-367-1320

Mailing address

731 Ne 32nd St
Boca Raton, FL 33431-6918

Phone 561-367-1344 · Fax 561-367-1320

Authorized official

Sal James Pellegrino
President/Doctor
5613671333

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