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Organization
MELBOURNE ACCIDENT & INJURY CENTER, INC.
Active
Organization
MELBOURNE ACCIDENT & INJURY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JIM TRASTELIS DC (PRESIDENT)
(321) 622-6610
Entity
Organization
Contact information
Practice address
2351 W EAU GALLIE BLVD, SUITE 8, MELBOURNE, FL 32935-3114
(321) 622-6610
(321) 622-6716
Mailing address
6284 PARADISE ISLAND CT, PORT ORANGE, FL 32128-6962
(321) 622-6610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9957
FL
Other
Enumeration date
01/21/2016
Last updated
03/13/2017
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