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Organization
MCCLELLAN CHIROPRACTIC CENTER PA
Active
Organization
MCCLELLAN CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T MCCLELLAN III D.C. (CHIROPRACTOR/OWNER)
(850) 674-2555
Entity
Organization
Contact information
Practice address
17390 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-2555
(850) 674-2576
Mailing address
17390 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-2555
(850) 674-2576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3805913 00
—
FL
Enumeration date
12/01/2011
Last updated
12/01/2011
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