Organization
IMAGE CHIROPRACTIC RE-HAB LLC
Active
Organization
IMAGE CHIROPRACTIC RE-HAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE HENRY VALLES DC (PHYSICIAN)
(561) 707-1798
Entity
Organization
Contact information
Practice address
4048 EVANS AVE STE 208, FORT MYERS, FL 33901-9385
(239) 362-3111
Mailing address
4048 EVANS AVE STE 208, FORT MYERS, FL 33901-9385
(239) 362-3111
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH8452
FL
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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