Organization
ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER
Active
Other names
Advanced Wellness & Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FRANK MAMMANA CHIROPRACTOR (OWNER)
(352) 307-0033
Entity
Organization
Contact information
Practice address
15151 S US HIGHWAY 441, SUMMERFIELD, FL 34491-4481
(352) 307-0033
(352) 307-1998
Mailing address
15151 S US HIGHWAY 441, SUITE 200, SUMMERFIELD, FL 34491-4481
(352) 307-0033
(352) 307-1998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2831
FL
305R00000X
Preferred Provider Organization
CH2831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3813525-00
—
FL
Enumeration date
11/28/2007
Last updated
08/05/2009
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