Organization
NELSON CHIROPRACTIC & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NELSON DC (PRESIDENT)
(863) 983-8391
Entity
Organization
Contact information
Practice address
905 W VENTURA AVE, CLEWISTON, FL 33440-3411
(863) 983-8391
(863) 983-2283
Mailing address
905 W VENTURA AVE, CLEWISTON, FL 33440-3411
(863) 983-8291
(863) 983-2283
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CH9995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002282701
—
FL
Enumeration date
01/08/2011
Last updated
01/25/2013
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