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Organization
STOCK CHIROPRACTIC WELLNESS CENTER, P.A.
Active
Organization
STOCK CHIROPRACTIC WELLNESS CENTER, P.A.
Active
Other names
Feder Health Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB EDWARD STOCK DC (OWNER)
(941) 205-2225
Entity
Organization
Contact information
Practice address
2310 TAMIAMI TRL UNIT 2121, PUNTA GORDA, FL 33950-5934
(941) 205-2225
(941) 205-3000
Mailing address
2310 TAMIAMI TRL UNIT 2121, PUNTA GORDA, FL 33950-5934
(941) 205-2225
(941) 205-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022641200
—
FL
Enumeration date
10/20/2010
Last updated
05/29/2020
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