# CHIROMED CHIROPRACTIC CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073568572
- **Authorized official:** MR. KEN J. MANGELSDORF (MANAGER)
- **Authorized official phone:** (912) 354-5500

## Contact information

- **Practice address:** 205 WEST BUSH BLVD, TAMPA, FL 33612
- **Practice address phone:** (800) 679-7246
- **Practice address fax:** (912) 355-1848
- **Mailing address:** PO BOX 15639, SAVANNAH, GA 31416-2339
- **Mailing address phone:** (912) 354-5500
- **Mailing address fax:** (912) 355-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020