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Organization
ROYAL PALM CHIROPRACTIC LLC
Active
Organization
ROYAL PALM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA A MARTIN DC (OWNER)
(727) 400-4807
Entity
Organization
Contact information
Practice address
1180 PONCE DE LEON BLVD STE 601B, CLEARWATER, FL 33756-1031
(727) 400-4807
(727) 400-4809
Mailing address
1180 PONCE DE LEON BLVD STE 601B, CLEARWATER, FL 33756-1031
(727) 400-4807
(727) 400-4809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9721
FL
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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