Organization
ACTIVE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD B WASSMER DC (PRESIDENT)
(321) 255-3003
Entity
Organization
Contact information
Practice address
1251 HICKORY ST, MELBOURNE, FL 32901-3221
(321) 255-3003
(321) 255-3005
Mailing address
1251 HICKORY ST, MELBOURNE, FL 32901-3221
(321) 255-3003
(321) 255-3005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9223
FL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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