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Organization
NORTH ORLANDO SPINE CENTER, LLC
Active
Organization
NORTH ORLANDO SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LOUISE INGRANDO D.C. (DOCTOR OF CHIROPRACTIC)
(407) 331-9913
Entity
Organization
Contact information
Practice address
2170 W STATE ROAD 434 STE 252, LONGWOOD, FL 32779-4976
(407) 331-9913
(407) 331-9918
Mailing address
2170 W STATE ROAD 434 STE 252, LONGWOOD, FL 32779-4976
(407) 331-9913
(407) 331-9918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CV491A
MEDICARE PTAN
FL
Enumeration date
06/15/2009
Last updated
07/17/2024
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