# WINDERMERE CHIROPRACTIC, PLLC

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

## Provider details

- **NPI number:** 1275819450
- **Authorized official:** DR. STEPHEN RENICK JR. DC (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (407) 217-6969

## Contact information

- **Practice address:** 1805 MAGUIRE RD, SUITE 135, WINDERMERE, FL 34786-7924
- **Practice address phone:** (407) 217-6969
- **Mailing address:** 1805 MAGUIRE RD, SUITE 135, WINDERMERE, FL 34786-7924
- **Mailing address phone:** (407) 217-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CH9701 | FL | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 02/09/2012