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Organization
GULFSIDE CHIROPRACTIC HEALTH CENTER
Active
Organization
GULFSIDE CHIROPRACTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KREG DALE SHERMAN II D.C. (MANAGING PARTNER)
(239) 908-9762
Entity
Organization
Contact information
Practice address
9138 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4291
(239) 908-9762
Mailing address
9138 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4291
(239) 908-9762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 12155
FL
111N00000X
Chiropractor
CH12151
FL
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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