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Organization
NEW WAVE CHIROPRACTIC LLC
Active
Organization
NEW WAVE CHIROPRACTIC LLC
Active
Other names
Wild Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SHIVER MINCEY D.C. (OWNER)
(321) 750-8850
Entity
Organization
Contact information
Practice address
3150 N WICKHAM RD STE 5, MELBOURNE, FL 32935-2322
(321) 750-8850
(321) 256-5243
Mailing address
3150 N WICKHAM RD STE 5, MELBOURNE, FL 32935-2322
(321) 750-8850
(321) 256-5243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12446
FL
Other
Enumeration date
07/05/2018
Last updated
04/27/2022
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