Individual
CHARLES RICHARD PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
934 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 796-2660
(352) 799-4487
Mailing address
934 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 796-2660
(352) 799-4487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 3752
FL
111NN0400X
Neurology Chiropractor
CH3752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001552100
—
FL
01
—
4406861
UNITED HEALTHCARE
FL
01
—
88731
BCBS
FL
01
—
CH 0003752
WORK COMP
FL
Enumeration date
08/22/2005
Last updated
10/03/2011
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