Organization
CRACK IT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R VAN WINKLE D.C. (DOCTOR/OWNER)
(941) 650-9453
Entity
Organization
Contact information
Practice address
531 TAMIAMI TRL, UNIT 5, PORT CHARLOTTE, FL 33953-2199
(941) 650-9453
Mailing address
1196 JONAH DR, NORTH PORT, FL 34289-9492
(941) 650-9453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6422
FL
Other
Enumeration date
04/12/2010
Last updated
05/14/2010
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