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Organization
JOEL M GROSSMAN, DC, PA DBA TOWN AND COUNTRY WELLNESS AND CHIROPRACTIC
Active
Organization
JOEL M GROSSMAN, DC, PA DBA TOWN AND COUNTRY WELLNESS AND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE WILLIAM KELLY D.C. (CLINICAL DIRECTOR)
(407) 344-0007
Entity
Organization
Contact information
Practice address
1024 BUENAVENTURA BLVD, KISSIMMEE, FL 34743-7865
(407) 344-0007
(407) 344-2464
Mailing address
1024 BUENAVENTURA BLVD, KISSIMMEE, FL 34743-7865
(407) 344-0007
(407) 344-2464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24571
MEDICARE PROVIDER NUMBER
FL
Enumeration date
11/15/2006
Last updated
01/21/2008
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