# MID FLORIDA MEDICAL AND CHIROPRACTIC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831428309
- **Authorized official:** RACHAEL GALLO (OWNER)
- **Authorized official phone:** (407) 566-0177

## Contact information

- **Practice address:** 100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL 34741-2372
- **Practice address phone:** (407) 847-8900
- **Mailing address:** 100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL 34741-2332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2009
- **Last updated:** 11/29/2012