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Organization
VICKERS CHIROPRACTIC HEALTH CENTERS PA
Active
Organization
VICKERS CHIROPRACTIC HEALTH CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DEE VICKERS JR. D.C. (PRESIDENT)
(863) 453-0684
Entity
Organization
Contact information
Practice address
1116 BILLY MARTIN RD, AVON PARK, FL 33825-4858
(863) 453-0684
(863) 453-2873
Mailing address
PO BOX 150, AVON PARK, FL 33826-0150
(863) 453-0684
(863) 453-2873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380135700
—
FL
Enumeration date
06/27/2006
Last updated
09/01/2010
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