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Organization

ACTIVE SPINE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN LOUIS SMITH DC (CHIROPRACTIC PHYSICIAN)
(321) 268-1999
Entity
Organization

Contact information

Practice address
2215 GARDEN ST, TITUSVILLE, FL 32796-2543
(213) 268-2210
(321) 325-2100
Mailing address
2215 GARDEN ST, TITUSVILLE, FL 32796-2543
(213) 268-2210
(321) 325-2100

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH8721
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043086515
CHIROPRACTIC
FL
01
1083662993
CHIROPRACTIC
FL
01
1821058983
CHIROPRACTIC
FL
Enumeration date
04/03/2009
Last updated
04/28/2025
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