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Organization
PURE CHIROPRACTIC & NATURAL HEALTH, INC
Active
Organization
PURE CHIROPRACTIC & NATURAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL WIEDER DC, DCBCN (PRESIDENT)
(407) 682-4454
Entity
Organization
Contact information
Practice address
200 WAYMONT CT, SUITE 126-3, LAKE MARY, FL 32746-3413
(407) 682-4454
(407) 682-3805
Mailing address
200 WAYMONT CT, SUITE 126-3, LAKE MARY, FL 32746-3413
(407) 682-4454
(407) 682-3805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88322A
MEDICARE
FL
Enumeration date
01/22/2015
Last updated
01/22/2015
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