# GRAHAM CHIROPRACTIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487841607
- **Authorized official:** DR. GLENN S GRAHAM D.C. (PRESDIENT)
- **Authorized official phone:** (407) 363-0052

## Contact information

- **Practice address:** 7532 W SAND LAKE RD, ORLANDO, FL 32819-5110
- **Practice address phone:** (407) 363-0052
- **Practice address fax:** (407) 363-0566
- **Mailing address:** 7532 W SAND LAKE RD, ORLANDO, FL 32819-5110
- **Mailing address phone:** (407) 363-0052
- **Mailing address fax:** (407) 363-0566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH0007147 | FL | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 10/02/2007