# NEW SMYRNA BEACH CHIROPRACTIC CLINIC PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dougherty Chiropractic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770785412
- **Authorized official:** DR. AMANDA JOY PROKOP DC (MANAGER CHIROPRACTOR)
- **Authorized official phone:** (386) 423-5259

## Contact information

- **Practice address:** 1205 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6005
- **Practice address phone:** (386) 423-5259
- **Practice address fax:** (386) 423-0929
- **Mailing address:** 1205 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6005
- **Mailing address phone:** (386) 423-5259
- **Mailing address fax:** (386) 423-0929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH9205 | FL | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 01/21/2011