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Organization

BALANCED SPINE CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE EMILIO PORTELA-BERRIOS D.C. (DOCTOR OF CHIROPRACTIC MEDICINE)
(352) 223-7227
Entity
Organization

Contact information

Practice address
192 W HWY 50, CLERMONT, FL 34711-3078
(352) 708-5333
Mailing address
11010 POINT NELLIE DR, CLERMONT, FL 34711-8663
(352) 223-7227

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11376
FL

Other

Enumeration date
10/06/2015
Last updated
02/01/2016
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