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Organization
SOUTH LAKE WELLNESS & INJURY CENTER, PL
Active
Organization
SOUTH LAKE WELLNESS & INJURY CENTER, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH BROCKMAN (BILLING MANAGER)
(352) 241-4111
Entity
Organization
Contact information
Practice address
2745 CITRUS TOWER BLVD, CLERMONT, FL 34711-6699
(352) 241-4111
(352) 241-4113
Mailing address
2745 CITRUS TOWER BLVD, CLERMONT, FL 34711-6699
(352) 241-4111
(352) 241-4113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007823
FL
Other
Enumeration date
02/06/2008
Last updated
05/16/2024
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