# THORNTON CHIROPRACTIC CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659505329
- **Authorized official:** DR. GLEN SCOTT THORNTON DC (PRESIDENT)
- **Authorized official phone:** (813) 685-7107

## Contact information

- **Practice address:** 906 LITHIA PINECREST RD, BRANDON, FL 33511-6121
- **Practice address phone:** (813) 685-7107
- **Practice address fax:** (813) 681-9693
- **Mailing address:** 906 LITHIA PINECREST RD, BRANDON, FL 33511-6121
- **Mailing address phone:** (813) 685-7107
- **Mailing address fax:** (813) 681-9693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 03/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22309 | MEDICARE PTAN | FL |
| 01 | — | 350035028 | RAILROAD MEDICARE PTAN | FL |