Individual
CHARLES B. NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2629 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7343
(850) 479-2700
(850) 478-1631
Mailing address
2629 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7343
(850) 479-2700
(850) 478-1631
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH0003725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593484706
TAX ID
FL
01
—
CH0003725
STATE LICENSE
FL
Enumeration date
07/13/2006
Last updated
02/17/2010
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