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Organization
SPACE COAST TOTAL HEALTH CARE
Active
Organization
SPACE COAST TOTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JE CLOW DC (PRESIDENT)
(321) 725-8778
Entity
Organization
Contact information
Practice address
5240 BABCOCK ST NE, SUITE 305, PALM BAY, FL 32905-4692
(321) 725-8778
(321) 984-5299
Mailing address
5240 BABCOCK ST NE, SUITE 305, PALM BAY, FL 32905-4692
(321) 725-8778
(321) 984-5299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4422
FL
Other
Enumeration date
09/06/2005
Last updated
08/22/2020
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