Organization
VANDERBECK CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES VANDERBECK D.C. (OWNER)
(941) 627-0095
Entity
Organization
Contact information
Practice address
2751 TAMIAMI TRL STE C, PORT CHARLOTTE, FL 33952-5170
(941) 627-0095
(941) 629-1872
Mailing address
2751 TAMIAMI TRL STE C, PORT CHARLOTTE, FL 33952-5170
(941) 627-0095
(941) 629-1872
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH4206
FL
Other
Enumeration date
06/02/2010
Last updated
01/10/2011
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