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Organization
JAMES C HERNDON JR DC P A
Active
Organization
JAMES C HERNDON JR DC P A
Active
Other names
Herndon Chiropractic Clinic.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C. HERNDON JR. D.C. (OWNER)
(407) 345-0508
Entity
Organization
Contact information
Practice address
7575 DR PHILLIPS BLVD STE 110, ORLANDO, FL 32819-7221
(407) 345-0508
(407) 345-0509
Mailing address
7575 DR PHILLIPS BLVD STE 110, ORLANDO, FL 32819-7221
(407) 345-0508
(407) 345-0509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 5763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22198
BCBS PROVIDER ID NUMBER
FL
Enumeration date
02/26/2014
Last updated
11/23/2015
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