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Organization

ALVAREZ FAMILY CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TREVOR W MAXWELL DC (OWNER CHIROPRACTIC PHYSICIAN)
(386) 734-2522
Entity
Organization

Contact information

Practice address
141 E INDIANA AV, STE B, DELAND, FL 32724-4329
(386) 734-2522
(386) 734-2502
Mailing address
141 E INDIANA AV, STE B, DELAND, FL 32724-4329
(386) 734-2522
(386) 734-2502

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7642
FL
111N00000X
Chiropractor
Primary
CH7957
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381395900
FL
05
381396700
FL
01
53880
BLUE CROSS BLUE SHIELD
FL
01
55935
BLUE CROSS BLUE SHIELD
FL
01
AO971Z
MEDICARE PTAN
FL
01
AO988Z
MEDICARE PTAN
FL
Enumeration date
08/08/2006
Last updated
10/29/2008
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