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Organization
MARS LEGACY LLC
Active
Organization
MARS LEGACY LLC
Active
Other names
Legacy Chirorpactic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CHAMBERS DC (OWNER)
(407) 203-1222
Entity
Organization
Contact information
Practice address
230 E MARKS ST, ORLANDO, FL 32803-3819
(407) 203-1222
(407) 203-1223
Mailing address
230 E MARKS ST, ORLANDO, FL 32803-3819
(407) 203-1222
(407) 203-1223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881975803
—
FL
Enumeration date
10/30/2017
Last updated
02/21/2018
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