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Organization
PROBECK CHIROPRACTIC CLINIC, INC.
Active
Organization
PROBECK CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT V. PROBECK D.C. (OWNER/PRESIDENT)
(727) 384-2611
Entity
Organization
Contact information
Practice address
5627 GULFPORT BLVD S, GULFPORT, FL 33707-4828
(727) 384-2611
(727) 343-3865
Mailing address
5627 GULFPORT BLVD S, GULFPORT, FL 33707-4828
(727) 384-2611
(727) 343-3865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381512900
—
FL
Enumeration date
11/15/2010
Last updated
11/15/2010
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