Organization
MENTORCHIROPRACTICREHABCENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESNER MENTOR D.C. (PRESIDENT)
(561) 267-6960
Entity
Organization
Contact information
Practice address
832 LANTANA RD, LANTANA, FL 33462-1509
(561) 267-6960
Mailing address
7350 THATCHER AVE, LANTANA, FL 33462-5242
(561) 267-6960
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11422
FL
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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