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Organization
PERFORMANCE AND WELLNESS CHIROPRACTIC INC.
Active
Organization
PERFORMANCE AND WELLNESS CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DILALLO DC, MA, CSCS (PRESIDENT)
(303) 718-8562
Entity
Organization
Contact information
Practice address
11211 PROSPERITY FARMS RD UNIT A10, PALM BEACH GARDENS, FL 33410-3446
(561) 402-4701
(561) 720-2056
Mailing address
11211 PROSPERITY FARMS RD STE A101, PALM BEACH GARDENS, FL 33410-3479
(561) 402-4701
(561) 720-2056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11621
FL
Other
Enumeration date
09/02/2015
Last updated
12/18/2018
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