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Organization
STEELE CHIROPRACTIC CENTER, INC
Active
Organization
STEELE CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE DAVENPORT STEELE D.C. (OWNER)
(386) 362-4112
Entity
Organization
Contact information
Practice address
609 5TH STREET S.W., SUITE 3, LIVE OAK, FL 32064
(386) 362-4112
(386) 208-0418
Mailing address
P.O. BOX 487, SUITE 3, LIVE OAK, FL 32064
(386) 362-4112
(386) 208-0418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380713400
—
FL
01
—
55218
BLUE CROSS
FL
01
—
55218Z
BLUE CROSS (FL)
FL
Enumeration date
03/25/2010
Last updated
12/13/2010
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