Organization
ADVANCED SPINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK LEMMON D.C. (PRESIDENT)
(863) 293-0040
Entity
Organization
Contact information
Practice address
1125 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-0040
Mailing address
1125 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-0040
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH9923
FL
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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