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Organization
SOURCE FAMILY CHIROPRACTIC INC.
Active
Organization
SOURCE FAMILY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX LOPATNYUK D.C. (CHIROPRACTOR/ PRESIDENT)
(407) 347-3246
Entity
Organization
Contact information
Practice address
12200 W COLONIAL DR, STE 201, WINTER GARDEN, FL 34787-4125
(407) 347-3246
Mailing address
12200 W COLONIAL DR, STE 201, WINTER GARDEN, FL 34787-4125
(407) 347-3246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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