Organization
SPINAL CARE PLUS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE LEE COLVIN DC (CHIROPRACTOR NEUROLOGY)
(850) 784-7800
Entity
Organization
Contact information
Practice address
714 E 4TH ST, PANAMA CITY, FL 32401-3757
(850) 784-7800
(850) 784-7825
Mailing address
714 E 4TH ST, PANAMA CITY, FL 32401-3757
(850) 784-7800
(850) 784-7825
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH7828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K1828
—
FL
Enumeration date
01/05/2007
Last updated
06/05/2008
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