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Organization

ENDEAVOR CHIROPRACTIC LLC

Active
Other names
Highland Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH L BOSTAPH DC (MANAGER)
(352) 326-5551
Entity
Organization

Contact information

Practice address
26540 ACE AVE, SUITE 108, LEESBURG, FL 34748-8279
(352) 326-5551
Mailing address
6053 SPINNAKER LOOP, LADY LAKE, FL 32159-5922
(352) 326-5551

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8400
FL

Other

Enumeration date
02/12/2010
Last updated
02/12/2010
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