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Individual

DR. CHRIS W CHEATWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
737 S MISSOURI AVE, LAKELAND, FL 33815-4737
(863) 680-1064
(863) 680-1734
Mailing address
737 S MISSOURI AVE, LAKELAND, FL 33815-4737
(863) 680-1064
(863) 680-1734

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5887
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350042466
RAILROAD RETIREMENT BOARD
FL
01
CH5887
STATE LICENSE NUMBER
FL
Enumeration date
04/25/2006
Last updated
08/31/2011
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