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Organization
MINIM INC.
Active
Organization
MINIM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN PATRICK GRAUSE DC (PRESIDENT)
(386) 506-1610
Entity
Organization
Contact information
Practice address
103 E CONNECTICUT AVE, EDGEWATER, FL 32132-2360
(386) 423-7572
Mailing address
4516 SAXON DR, NEW SMYRNA BEACH, FL 32169-4137
(386) 506-1610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10371
FL
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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