Organization
G.A. MACHACEK D.C. INC.
Active
Other names
Physicians Spine & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT A. MACHACEK D.C. (OWNER)
(727) 347-7827
Entity
Organization
Contact information
Practice address
2201 58TH ST N, ST PETERSBURG, FL 33710-4236
(727) 347-7827
Mailing address
2201 58TH ST N, ST PETERSBURG, FL 33710-4236
(727) 347-7827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380788600
—
FL
Enumeration date
05/08/2008
Last updated
05/08/2008
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