Organization
BENNETT CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL HENRY BENNETT DC (OWNER PRESIDENT)
(386) 767-1100
Entity
Organization
Contact information
Practice address
3945 SOUTH NOVA ROAD, PORT ORANGE, FL 32127
(386) 767-1100
(386) 767-1103
Mailing address
3945 SOUTH NOVA ROAD, PORT ORANGE, FL 32127
(386) 767-1100
(386) 767-1103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5081
FL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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