Organization
HEATHROW FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY TOLLE D.C. (OWNER/MANAGER)
(407) 756-6998
Entity
Organization
Contact information
Practice address
1130 TOWNPARK AVE, SUITE 1116, LAKE MARY, FL 32746-4787
(407) 756-6998
Mailing address
1601 CHERRY LAKE WAY, LAKE MARY, FL 32746-1962
(407) 756-6998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10438
FL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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