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Organization
THORNTON CHIROPRACTIC CENTER, P.A.
Active
Organization
THORNTON CHIROPRACTIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN SCOTT THORNTON DC (PRESIDENT)
(813) 685-7107
Entity
Organization
Contact information
Practice address
906 LITHIA PINECREST RD, BRANDON, FL 33511-6121
(813) 685-7107
(813) 681-9693
Mailing address
906 LITHIA PINECREST RD, BRANDON, FL 33511-6121
(813) 685-7107
(813) 681-9693
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
NULL
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22309
MEDICARE PTAN
FL
01
—
350035028
RAILROAD MEDICARE PTAN
FL
Enumeration date
05/11/2009
Last updated
03/20/2012
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