Organization
ADVANCED CHIROPRACTIC LIFE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'CONNOR D.O. (DIRECTOR)
(386) 338-5897
Entity
Organization
Contact information
Practice address
801 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-8279
(386) 673-2000
(386) 673-2002
Mailing address
801 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-8279
(386) 673-2000
(386) 673-2002
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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