Organization
FUNCTIONAL HEALTH INSTITUTE, INC
Active
Other names
Advanced Healthcare Physical Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW W FENTRESS DC (OWNER)
(386) 673-2000
Entity
Organization
Contact information
Practice address
132 N NOVA RD, ORMOND BEACH, FL 32174-5122
(386) 673-2000
(386) 673-2002
Mailing address
132 N NOVA RD, ORMOND BEACH, FL 32174-5122
(386) 673-2000
(386) 673-2002
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH11802FL
FL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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