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Organization
TIMOTHY DOUGLASS DC PA
Active
Organization
TIMOTHY DOUGLASS DC PA
Active
Other names
Douglass Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D DOUGLASS D.C. (PRESIDENT)
(850) 650-6789
Entity
Organization
Contact information
Practice address
4221 COMMONS DR EAST, STE B-105, DESTON, FL 32541-3483
(850) 650-6789
(850) 650-6790
Mailing address
4421 COMMONS DR E, # B-105, DESTIN, FL 32541-3484
(850) 650-6789
(850) 650-6790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9683
FL
Other
Enumeration date
03/18/2010
Last updated
11/03/2011
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