Organization
DEMETREE CHIROPRACTIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A DEMETREE D.C. (PRESIDENT)
(407) 977-7233
Entity
Organization
Contact information
Practice address
1750 W BROADWAY ST, STE# 108, OVIEDO, FL 32765-9618
(407) 977-7233
(407) 359-6822
Mailing address
1750 W BROADWAY ST, STE# 108, OVIEDO, FL 32765-9618
(407) 977-7233
(407) 359-6822
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH6994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-0922600
—
FL
01
—
55400
BCBS
FL
Enumeration date
08/09/2011
Last updated
08/09/2011
Update your record
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