# UMATILLA CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972930691
- **Authorized official:** DR. MARK T ZIMMERMAN D.C. (OWNER)
- **Authorized official phone:** (352) 459-6411

## Contact information

- **Practice address:** 533 UMATILLA BLVD, UMATILLA, FL 32784-9091
- **Practice address phone:** (352) 459-6411
- **Practice address fax:** (352) 387-7888
- **Mailing address:** 533 UMATILLA BLVD, UMATILLA, FL 32784-9091
- **Mailing address phone:** (352) 459-6411
- **Mailing address fax:** (352) 387-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | CH9512 | FL | Yes |

## Other

- **Enumeration date:** 09/27/2013
- **Last updated:** 10/18/2013