Organization
DIVINE CHIROPRACTIC HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA M DENSTEDT DC (SOLE MBR)
(863) 670-5137
Entity
Organization
Contact information
Practice address
1820 E COUNTY ROAD 540A, WELLNESS, LAKELAND, FL 33813-3737
(863) 670-5137
(863) 299-3016
Mailing address
1820 E COUNTY ROAD 540A, WELLNESS, LAKELAND, FL 33813-3737
(863) 670-5137
(863) 299-3016
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH10414
FL
Other
Enumeration date
08/03/2012
Last updated
08/21/2015
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