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Organization
ALVAREZ FAMILY CHIROPRACTIC LLC
Active
Organization
ALVAREZ FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR W MAXWELL DC (OWNER CHIROPRACTIC PHYSICIAN)
(386) 734-2522
Entity
Organization
Contact information
Practice address
141 E INDIANA AV, STE B, DELAND, FL 32724-4329
(386) 734-2522
(386) 734-2502
Mailing address
141 E INDIANA AV, STE B, DELAND, FL 32724-4329
(386) 734-2522
(386) 734-2502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7642
FL
111N00000X
Chiropractor
Primary
CH7957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381395900
—
FL
05
—
381396700
—
FL
01
—
53880
BLUE CROSS BLUE SHIELD
FL
01
—
55935
BLUE CROSS BLUE SHIELD
FL
01
—
AO971Z
MEDICARE PTAN
FL
01
—
AO988Z
MEDICARE PTAN
FL
Enumeration date
08/08/2006
Last updated
10/29/2008
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