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Organization
EAST LAKE CHIROPRACTIC AND INJURY CENTER INC
Active
Organization
EAST LAKE CHIROPRACTIC AND INJURY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEE MCNICHOLS D.C. (PRESIDENT)
(407) 957-9995
Entity
Organization
Contact information
Practice address
4028 13TH ST, SAINT CLOUD, FL 34769-6773
(407) 957-9995
Mailing address
4028 13TH ST, SAINT CLOUD, FL 34769-6773
(407) 957-9995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9561
FL
Other
Enumeration date
07/02/2008
Last updated
04/26/2017
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