Chiropractic Health Clinic Of Brevard PA
Chiropractor in Merritt Island, FL. Organization (NPI-2).
NPI number1992995757
StatusActive
Last updated in NPPESJul 27, 2007
Details
- NPI
- 1992995757
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiropractic Health Clinic Of Brevard PA
- Organization subpart
- No
- Enumeration date
- Jul 27, 2007
- Last updated
- Jul 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH 8328 FL | FL | Yes |
Practice location
110 N Tropical TrlMerritt Island, FL 32953-4737
Phone 321-459-9400
Mailing address
110 N Tropical TrlMerritt Island, FL 32953-4737
Authorized official
Paul Vincent Grimm
President
3214599400
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