# WATT FAMILY CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1134252471
- **Authorized official:** DR. BRADLEY GEORGE WATT B.S., D.C. (DOCTOR/OWNER)
- **Authorized official phone:** (321) 253-8511

## Contact information

- **Practice address:** 2255 N. WICKHAM RD \#109, MELBOURNE, FL 32935
- **Practice address phone:** (321) 253-8511
- **Practice address fax:** (321) 253-8711
- **Mailing address:** 2255 N. WICKHAM RD \#109, MELBOURNE, FL 32935
- **Mailing address phone:** (321) 253-8511
- **Mailing address fax:** (321) 253-8711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH7835 | FL | Yes |
| 111N00000X | Chiropractor | CH8029 | FL | — |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 10/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 381734200 | — | FL |