Organization
CREATIVE CHIROPRACTIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORI RODRIGUEZ DC (PHYSICIAN/OWNER)
(407) 757-0824
Entity
Organization
Contact information
Practice address
6965 PIAZZA GRANDE AVE, SUITE 403, ORLANDO, FL 32835-8779
(407) 757-0824
(407) 757-0843
Mailing address
6965 PIAZZA GRANDE AVE, SUITE 403, ORLANDO, FL 32835-8779
(407) 757-0824
(407) 757-0843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111N00000X
TAXONOMY
FL
01
—
1720009350
NPI
FL
Enumeration date
07/30/2011
Last updated
07/10/2015
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