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Organization
LIFE MEDICAL CENTER OF LECANTO,INC
Active
Organization
LIFE MEDICAL CENTER OF LECANTO,INC
Active
Other names
Kinnard Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY S KINNARD DC (OWNER)
(352) 726-0554
Entity
Organization
Contact information
Practice address
2611 HIGHWAY 44 W, INVERNESS, FL 34453-3725
(352) 726-0554
(352) 726-3885
Mailing address
2611 HIGHWAY 44 W, INVERNESS, FL 34453-3725
(352) 726-0554
(352) 726-3885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38954
BLUE CROSS & BLUE SHIELD
—
Enumeration date
03/15/2006
Last updated
09/06/2011
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