Organization
BUSH CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W. BUSH D.C. (PRESIDENT)
(863) 965-2999
Entity
Organization
Contact information
Practice address
2402 LAKE DR NW, WINTER HAVEN, FL 33881-5008
(863) 965-2999
(863) 965-2990
Mailing address
2402 LAKE DR NW, WINTER HAVEN, FL 33881-5008
(863) 965-2999
(863) 965-2990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
11/18/2009
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