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Organization
SOCC PL
Active
Organization
SOCC PL
Active
Other names
South Orange Wellness & Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY N. SHEBOVSKY DC (CLINIC DIRECTOR CHIROPRACTOR)
(407) 857-6166
Entity
Organization
Contact information
Practice address
4170 TOWN CENTER BLVD, SUITE 100, ORLANDO, FL 32837-5873
(407) 857-6166
(407) 857-0122
Mailing address
4170 TOWN CENTER BLVD, SUITE 100, ORLANDO, FL 32837-5873
(407) 857-6166
(407) 857-0122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6499
FL
111NR0400X
Rehabilitation Chiropractor
CH6499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380451800
—
FL
Enumeration date
05/02/2006
Last updated
03/06/2009
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