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Organization
PINE CASTLE CHIROPRACTIC CENTER, INC
Active
Organization
PINE CASTLE CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SIMON HOFFMEISTER II DC (OWNER)
(407) 855-7199
Entity
Organization
Contact information
Practice address
707 E OAK RIDGE RD., ORLANDO, FL 32809-4204
(407) 855-7199
(407) 855-7237
Mailing address
707 E OAK RIDGE RD., ORLANDO, FL 32809-4204
(407) 855-7199
(407) 855-7237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118300
AMERIGROUP
FL
01
—
245138
WELLCARE
FL
01
—
285910
AVMED
FL
05
—
381326600
—
FL
01
—
55971
BCBS
FL
01
—
593466707
CHIRO. ALLIANCE CORPORATION
FL
Enumeration date
04/24/2008
Last updated
04/24/2008
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