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Organization
MARIANNA HEALTH & WELLNESS, P.A.
Active
Organization
MARIANNA HEALTH & WELLNESS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E. BONTRAGER D.C. (PRESIDENT/OWNER)
(850) 526-4830
Entity
Organization
Contact information
Practice address
4439 JACKSON ST, MARIANNA, FL 32448-4659
(850) 526-4830
(850) 482-2757
Mailing address
4439 JACKSON ST, MARIANNA, FL 32448-4659
(850) 526-4830
(850) 482-2757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH0004409
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP3021832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051144700
—
FL
Enumeration date
01/05/2010
Last updated
10/18/2012
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