# BOLICK CLINIC, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Bolick Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073680088
- **Authorized official:** DR. CHANNING C BOLICK DC (PRESIDENT)
- **Authorized official phone:** (407) 629-5333

## Contact information

- **Practice address:** 500 E HORATIO AVE STE 5, MAITLAND, FL 32751-7310
- **Practice address phone:** (407) 629-5333
- **Practice address fax:** (407) 629-5343
- **Mailing address:** 500 E HORATIO AVE STE 5, MAITLAND, FL 32751-7310
- **Mailing address phone:** (407) 629-5333
- **Mailing address fax:** (407) 629-5343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 09/23/2025