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Organization
MALLORY CHIROPRACTIC CLINIC PA
Active
Organization
MALLORY CHIROPRACTIC CLINIC PA
Active
Other names
NECK BACK & HEADACHE RELIEF CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A MALLORY DC (OWNER)
(386) 248-8000
Entity
Organization
Contact information
Practice address
1033 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-6151
(386) 248-8000
(386) 252-1850
Mailing address
1033 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-6151
(386) 248-8000
(386) 252-1850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350049800
RAILROAD MEDICARE
FL
05
—
380856400
—
FL
Enumeration date
12/16/2005
Last updated
03/12/2014
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