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Organization
MOULDS CHIROPRACTIC LLC
Active
Organization
MOULDS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MOULDS D.C. (OWNER)
(850) 449-8855
Entity
Organization
Contact information
Practice address
6266 N W ST, PENSACOLA, FL 32505-1903
(850) 465-3252
(850) 465-3254
Mailing address
6266 N W ST, PENSACOLA, FL 32505-1903
(850) 465-3252
(850) 465-3254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8429
FL
225700000X
Massage Therapist
MM13927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381696600
—
FL
01
—
CH8429
STATE LICENSE
FL
01
—
MM13927
STATE LICENSE
FL
Enumeration date
06/11/2006
Last updated
03/08/2021
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