Organization
DR. FONTAINE CHIROPRACTIC CLINIC LLC
Active
Other names
Dr Fontaine Chiropractic Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI FONTAINE DC (PRESIDENT)
(941) 227-4539
Entity
Organization
Contact information
Practice address
7324 COVE TERRACE, SARASOTA, FL 34231
(941) 365-2373
Mailing address
7324 COVE TERRACE, SARASOTA, FL 34231
(941) 365-2373
(941) 951-2270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306110333
CHIROPRACTOR
FL
01
—
CH3406
CHIROPRACTOR
FL
Enumeration date
03/08/2012
Last updated
09/26/2022
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