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Organization
COASTAL CITY CHIROPRACTIC CENTER LLC
Active
Organization
COASTAL CITY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER CHELSIE DEMAIO DC (CHIROPRACTIC PHYSICIAN)
(941) 504-2257
Entity
Organization
Contact information
Practice address
4550 CLYDE MORRIS BLVD STE D, PORT ORANGE, FL 32129-4080
(941) 504-2257
Mailing address
3939 S ATLANTIC AVE APT A, PORT ORANGE, FL 32127-6521
(941) 504-2257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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