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Organization
DR. FONTAINE CHIROPRACTIC CLINIC LLC
Active
Organization
DR. FONTAINE CHIROPRACTIC CLINIC LLC
Active
Other names
Dr Fontaine Chiropractic Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI FONTAINE DC (PRESIDENT)
(941) 227-4539
Entity
Organization
Contact information
Practice address
7324 COVE TERRACE, SARASOTA, FL 34231
(941) 365-2373
Mailing address
7324 COVE TERRACE, SARASOTA, FL 34231
(941) 365-2373
(941) 951-2270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306110333
CHIROPRACTOR
FL
01
—
CH3406
CHIROPRACTOR
FL
Enumeration date
03/08/2012
Last updated
09/26/2022
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