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Organization
HEATHROW CHIROPRACTIC INC
Active
Organization
HEATHROW CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PEGAN D.C. (OWNER/CHIROPRACTOR)
(407) 829-2133
Entity
Organization
Contact information
Practice address
120 INTERNATIONAL PKWY, SUITE 124, LAKE MARY, FL 32746-5031
(407) 829-2133
(407) 829-2135
Mailing address
120 INTERNATIONAL PKWY, SUITE 124, LAKE MARY, FL 32746-5031
(407) 829-2133
(407) 829-2135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9620
FL
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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