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Organization
SOUTH LAKE CHIROPRACTIC PA
Active
Organization
SOUTH LAKE CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FLOYD (OFFICE MANAGER)
(352) 394-4615
Entity
Organization
Contact information
Practice address
255 W HIGHWAY 50, CLERMONT, FL 34711-3027
(352) 394-4615
Mailing address
255 W HIGHWAY 50, CLERMONT, FL 34711-3027
(352) 394-4615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004040
FL
Other
Enumeration date
10/22/2008
Last updated
03/13/2009
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