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Organization
FOGARTY CHIROPRACTIC LIFE CLINIC OF ORLANDO, PA
Active
Organization
FOGARTY CHIROPRACTIC LIFE CLINIC OF ORLANDO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FOGARTY D.C. (DIRECTOR)
(407) 281-0707
Entity
Organization
Contact information
Practice address
12484 LAKE UNDERHILL RD, ORLANDO, FL 32828-7100
(407) 281-0707
(407) 273-4793
Mailing address
12484 LAKE UNDERHILL RD, ORLANDO, FL 32828-7100
(407) 281-0707
(407) 273-4793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381967100
—
FL
Enumeration date
02/09/2007
Last updated
10/02/2015
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