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Organization
DC HEALTHCARE PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization
DC HEALTHCARE PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
A Backcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CLINTON CARLOCK JR. D.C. (CLINIC DIRECTOR)
(850) 475-2675
Entity
Organization
Contact information
Practice address
5559 N DAVIS HWY, SUITE B, PENSACOLA, FL 32503-2048
(850) 475-2675
(850) 475-2679
Mailing address
5559 N DAVIS HWY, SUITE B, PENSACOLA, FL 32503-2048
(850) 475-2675
(850) 475-2679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381273100
—
FL
01
—
55449
BCBS
FL
Enumeration date
11/06/2006
Last updated
01/19/2009
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