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Organization
CHIROPRACTIC HEALTH CLINIC OF BREVARD PA
Active
Organization
CHIROPRACTIC HEALTH CLINIC OF BREVARD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL VINCENT GRIMM D.C. (PRESIDENT)
(321) 459-9400
Entity
Organization
Contact information
Practice address
110 N TROPICAL TRL, MERRITT ISLAND, FL 32953-4737
(321) 459-9400
Mailing address
110 N TROPICAL TRL, MERRITT ISLAND, FL 32953-4737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 8328 FL
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5848
MEDICARE GROUP NUMBER
FL
Enumeration date
07/27/2007
Last updated
07/27/2007
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