Organization
EAST LAKE CHIROPRACTIC AND INJURY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEE MCNICHOLS D.C. (PRESIDENT)
(407) 957-9995
Entity
Organization
Contact information
Practice address
4028 13TH ST, SAINT CLOUD, FL 34769-6773
(407) 957-9995
Mailing address
4028 13TH ST, SAINT CLOUD, FL 34769-6773
(407) 957-9995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9561
FL
Other
Enumeration date
07/02/2008
Last updated
04/26/2017
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