Organization
REGENERATIVE SPINE AND BODY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VILLE D.C. (OWNER)
(321) 777-3677
Entity
Organization
Contact information
Practice address
155 JACKSON AVE, SUITE C, SATELLITE BEACH, FL 32937-2993
(321) 777-3677
(321) 779-8344
Mailing address
155 JACKSON AVE, SUITE C, SATELLITE BEACH, FL 32937-2993
(321) 777-3677
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
10/16/2014
Last updated
11/18/2014
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