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Organization
DR VIRGINIA A FATATO DC PA
Active
Organization
DR VIRGINIA A FATATO DC PA
Active
Other names
FUNCTIONAL SPINE & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA A FATATO DC (PRESIDENT)
(754) 444-7060
Entity
Organization
Contact information
Practice address
9768 W SAMPLE RD, CORAL SPRINGS, FL 33065-4004
(754) 444-7060
(754) 229-8712
Mailing address
9768 W SAMPLE RD, CORAL SPRINGS, FL 33065-4004
(754) 444-7060
(754) 229-8712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220JL
BC/BS
FL
Enumeration date
06/03/2019
Last updated
06/03/2019
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