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Organization
FORT WALTON BEACH CHIROPRACTIC LLC
Active
Organization
FORT WALTON BEACH CHIROPRACTIC LLC
Active
Other names
Fort Walton Beach Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT SMITH D.C. (MANAGER)
(850) 200-4911
Entity
Organization
Contact information
Practice address
315 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2548
(850) 200-4911
Mailing address
315 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2548
(850) 200-4911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8625
FL
Other
Enumeration date
09/13/2012
Last updated
06/19/2019
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