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Organization
ISNER CHIROPRACTIC CLINIC, INC.
Active
Organization
ISNER CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW OWEN ISNER DC (PRESIDENT)
(386) 852-0110
Entity
Organization
Contact information
Practice address
1515 HERBERT ST STE 209, PORT ORANGE, FL 32129-6105
(386) 767-7510
(386) 767-7511
Mailing address
1103 NATURE VIEW CIR, PORT ORANGE, FL 32128-7454
(386) 788-2596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO08035
GA
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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