Organization
FIALKOV CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS A FIALKOV DC (PRESIDENT/OWNER)
(386) 334-3362
Entity
Organization
Contact information
Practice address
279 S YONGE ST, ORMOND BEACH, FL 32174-6257
(386) 334-3362
Mailing address
279 S YONGE ST, ORMOND BEACH, FL 32174-6257
(386) 334-3362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH9759
STATE LICENSE
FL
Enumeration date
03/09/2010
Last updated
01/06/2012
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