# PORTER CHIROPRACTIC AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1114350097
- **Authorized official:** DR. DEBORA LYNN PORTER D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
- **Authorized official phone:** (386) 316-2524

## Contact information

- **Practice address:** 1367 BEVILLE RD, DAYTONA BEACH, FL 32119-1529
- **Practice address phone:** (386) 317-2000
- **Practice address fax:** (386) 265-5552
- **Mailing address:** 1367 BEVILLE RD, DAYTONA BEACH, FL 32119-1529
- **Mailing address phone:** (386) 316-2524
- **Mailing address fax:** (386) 310-8770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | CH10961 | FL | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 05/06/2020