Organization
HARRISON R TODD II DC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON ROGERS TODD II D.C. (MANAGING MEMBER)
(772) 562-2053
Entity
Organization
Contact information
Practice address
1703 24TH ST, VERO BEACH, FL 32960-3351
(772) 562-2053
(772) 562-8197
Mailing address
1703 24TH ST, VERO BEACH, FL 32960-3351
(772) 562-2053
(772) 562-8197
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22212
BLUE CROSS BLUE SHIELD OF
FL
Enumeration date
09/10/2007
Last updated
02/27/2008
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