Organization
FORT WALTON BEACH CHIROPRACTIC LLC
Active
Other names
Fort Walton Beach Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT SMITH D.C. (MANAGER)
(850) 200-4911
Entity
Organization
Contact information
Practice address
315 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2548
(850) 200-4911
Mailing address
315 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2548
(850) 200-4911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8625
FL
Other
Enumeration date
09/13/2012
Last updated
06/19/2019
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