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Organization
SEMINOLE CHIROPRACTIC INJURY & WELLNESS CENTER INC
Active
Organization
SEMINOLE CHIROPRACTIC INJURY & WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN S NICKSE DC (CHIROPRACTOR)
(727) 399-2229
Entity
Organization
Contact information
Practice address
10863 PARK BLVD, SUITE 2, SEMINOLE, FL 33772-5423
(727) 399-2229
(727) 399-2228
Mailing address
10863 PARK BLVD, SUITE 2, SEMINOLE, FL 33772-5423
(727) 399-2229
(727) 399-2228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HCC 2141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381927200
—
FL
Enumeration date
11/01/2007
Last updated
06/21/2018
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