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Organization
MAURICIO CHIROPRACTIC EAST COLONIAL, LLC
Active
Organization
MAURICIO CHIROPRACTIC EAST COLONIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SCOTT BIRD (ADMINISTRATOR)
(407) 381-0878
Entity
Organization
Contact information
Practice address
12278 E. COLONIAL DRIVE, STE 700, ORLANDO, FL 32826
(407) 273-7727
(407) 273-7718
Mailing address
12278 E. COLONIAL DRIVE, STE 600, ORLANDO, FL 32826
(407) 381-0878
(407) 373-6046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K7915A
—
FL
Enumeration date
12/11/2007
Last updated
06/19/2014
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