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Organization
SIKKEMA CHIROPRACTIC PA
Active
Organization
SIKKEMA CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DANIEL SIKKEMA I D.C. (PRESIDENT)
(352) 787-7499
Entity
Organization
Contact information
Practice address
1000 E NORTH BLVD, LEESBURG, FL 34748-5348
(352) 787-7499
Mailing address
1000 E NORTH BLVD, LEESBURG, FL 34748-5348
(352) 787-7499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21404201
CITRUS CARE
FL
05
—
381621400
—
FL
01
—
70082
BLUE CROSS AND BLUE SHIELD
FL
01
—
CH6701
STATE LICENCE FOR DR. JOHN D SIKKEMA D.C.
FL
Enumeration date
12/06/2010
Last updated
12/06/2010
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