Organization
CHIROMED CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN J. MANGELSDORF (MANAGER)
(912) 354-5500
Entity
Organization
Contact information
Practice address
205 WEST BUSH BLVD, TAMPA, FL 33612
(800) 679-7246
(912) 355-1848
Mailing address
PO BOX 15639, SAVANNAH, GA 31416-2339
(912) 354-5500
(912) 355-1848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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