Organization
FOGARTY CHIROPRACTIC LIFE CLINIC OF ORLANDO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FOGARTY D.C. (DIRECTOR)
(407) 281-0707
Entity
Organization
Contact information
Practice address
12484 LAKE UNDERHILL RD, ORLANDO, FL 32828-7100
(407) 281-0707
(407) 273-4793
Mailing address
12484 LAKE UNDERHILL RD, ORLANDO, FL 32828-7100
(407) 281-0707
(407) 273-4793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381967100
—
FL
Enumeration date
02/09/2007
Last updated
10/02/2015
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