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Organization
VOGEL CHIROPRACTIC CLINIC LLC
Active
Organization
VOGEL CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUDI EWING VOGEL DC (OWNER PROVIDER)
(386) 788-4778
Entity
Organization
Contact information
Practice address
1780 S NOVA RD, STE 4, SOUTH DAYTONA, FL 32119-1777
(386) 788-4778
(386) 788-8110
Mailing address
1780 S NOVA RD, STE 4, SOUTH DAYTONA, FL 32119-1777
(386) 788-4778
(386) 788-8110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006899
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018G
BLUE CROSS/BLUE SHIELD
—
01
—
350055155
MEDICARE RAILROAD
—
Enumeration date
10/06/2005
Last updated
04/10/2013
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