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Organization
SCENIC 30A INVESTMENTS LLC
Active
Organization
SCENIC 30A INVESTMENTS LLC
Active
Other names
Regatta Chiropractic and Laser
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE RESTIERI DC (OWNER)
(352) 514-4404
Entity
Organization
Contact information
Practice address
4481 LEGENDARY DR STE 150, DESTIN, FL 32541-5386
(850) 424-7856
Mailing address
4481 LEGENDARY DR STE 150, DESTIN, FL 32541-5386
(850) 424-7856
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
08/18/2021
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