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Organization
ROD DAVIS CHIROPRACTIC P A
Active
Organization
ROD DAVIS CHIROPRACTIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER F DAVIS DC (OWNER)
(863) 699-0111
Entity
Organization
Contact information
Practice address
155 E INTERLAKE BLVD, LAKE PLACID, FL 33852-9578
(863) 699-0111
(863) 699-1046
Mailing address
155 E INTERLAKE BLVD, LAKE PLACID, FL 33852-9578
(863) 699-0111
(863) 699-1046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280013600
—
FL
Enumeration date
02/19/2008
Last updated
11/25/2008
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