Organization
AQUI CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS G AQUI DC (OWNER)
(863) 534-3288
Entity
Organization
Contact information
Practice address
1350 E MAIN ST STE B-4, BARTOW, FL 33830-5064
(863) 534-3288
Mailing address
1350 E MAIN ST STE B-4, BARTOW, FL 33830-5064
(863) 534-3288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381564100
—
FL
01
—
53895
BC BS OF FL
FL
Enumeration date
05/10/2007
Last updated
02/06/2013
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