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Organization

PERRY CHIROPRACTIC CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE STEVEN NELSEN D.C. (CEO)
(850) 584-7117
Entity
Organization

Contact information

Practice address
305 N ORANGE ST, PERRY, FL 32347-2726
(850) 584-7117
(850) 584-7119
Mailing address
305 N ORANGE ST, PERRY, FL 32347-2726
(850) 584-7117
(850) 584-7119

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH4181
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005448400
FL
Enumeration date
08/26/2008
Last updated
05/19/2016
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