Organization
BARDMOOR CHIROPRACTIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNE MICHELLE FERNANDEZ D.C. (PRESIDENT)
(727) 280-2323
Entity
Organization
Contact information
Practice address
10801 STARKEY RD, SUITE 303, SEMINOLE, FL 33777-1159
(727) 280-2323
Mailing address
10801 STARKEY RD, SUITE 303, SEMINOLE, FL 33777-1159
(727) 280-2323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5777
FL
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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