Organization
GRAND CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISHA BLANCO DC (DOCTOR)
(727) 849-5077
Entity
Organization
Contact information
Practice address
6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
(727) 849-5077
(727) 849-7901
Mailing address
6145 GRAND BLVD, NEW PORT RICHEY, FL 34652-2605
(727) 849-5077
(727) 849-7901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016179400
—
FL
Enumeration date
03/23/2018
Last updated
03/23/2018
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