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Organization
MAITLAND CHIROPRACTIC CLINIC INC
Active
Organization
MAITLAND CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTIANNE MICHELLE DUVAL (VICE PRESIDENT)
(407) 628-9999
Entity
Organization
Contact information
Practice address
500 S MAITLAND AVE, MAITLAND, FL 32751-5622
(407) 628-9999
(407) 628-2917
Mailing address
500 S MAITLAND AVE, MAITLAND, FL 32751-5622
(407) 628-9999
(407) 628-2917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HCC6175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3817849 00
—
FL
Enumeration date
05/01/2006
Last updated
07/07/2008
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