Organization
GULF COAST SPINE & SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY YOUNG D.C. (CHIROPRACTIC PHYSICIAN)
(636) 667-9150
Entity
Organization
Contact information
Practice address
6622 WILLOW PARK DR, SUITE 202, NAPLES, FL 34109-9016
(636) 667-9150
Mailing address
6622 WILLOW PARK DR, SUITE 202, NAPLES, FL 34109-9016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11255
FL
111NS0005X
Sports Physician Chiropractor
CH11220
FL
Other
Enumeration date
07/14/2014
Last updated
08/06/2014
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