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Organization
THE STANDARD CHIROPRACTIC, LLC
Active
Organization
THE STANDARD CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO GAVALDON DC (PRESIDENT)
(386) 410-3292
Entity
Organization
Contact information
Practice address
807 A1A, NEW SMYRNA BEACH, FL 32169-2827
(386) 410-3292
Mailing address
807 A1A, NEW SMYRNA BEACH, FL 32169-2827
(386) 410-3292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
04/08/2019
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