Organization
ABUNDANT LIFE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASSIL I VALOV DC (OWNER)
(904) 862-2662
Entity
Organization
Contact information
Practice address
254 EVEREST LANE, ST. JOHNS, FL 32259
(904) 862-2662
Mailing address
56 CANARY PALM CT, PONTE VEDRA, FL 32081-6100
(904) 862-2662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12184
FL
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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