Organization
ASW CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TINA SHALLONIS (BILLING MANAGER)
(352) 399-5085
Entity
Organization
Contact information
Practice address
13104 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-3124
(352) 399-5085
(866) 402-3481
Mailing address
5090 NE 124TH PL, OXFORD, FL 34484-9625
(352) 399-5085
(866) 402-3481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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