Organization
BAYBRIDGE CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEAMON WILLIAM (DIRECTOR)
(850) 932-1778
Entity
Organization
Contact information
Practice address
107 BAY BRIDGE DR, GULF BREEZE, FL 32561-7428
(850) 932-1778
(850) 934-4770
Mailing address
107 BAYBRIDGE DR, GULF BREEZE, FL 32561-4470
(850) 932-1778
(850) 934-4770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00005184
FL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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