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Organization
LAKE COUNTY SPINE AND INJURY
Active
Organization
LAKE COUNTY SPINE AND INJURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVI BIFSHA (OWNER)
(352) 977-4824
Entity
Organization
Contact information
Practice address
128 N EUSTIS ST STE 101, EUSTIS, FL 32726-3400
(352) 977-4824
Mailing address
128 N EUSTIS ST STE 101, EUSTIS, FL 32726-3400
(352) 977-4824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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