Organization
FOCUS FORWARD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY RAUDENBUSH (CEO)
(386) 872-5313
Entity
Organization
Contact information
Practice address
900 N SWALLOW TAIL DR, PORT ORANGE, FL 32129
(518) 536-0574
Mailing address
1010 N SWALLOW TAIL DR APT 803, PORT ORANGE, FL 32129-4155
(518) 536-0574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
05/21/2018
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