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Organization
MIND, BODY AND SPIRIT CHIROPRACTIC, INC.
Active
Organization
MIND, BODY AND SPIRIT CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LOUIS ORTA D.C. (PRESIDENT)
(954) 489-4790
Entity
Organization
Contact information
Practice address
6220 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1904
(954) 489-9773
Mailing address
6220 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1904
(954) 489-9773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8243
FL
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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