Organization
COLONIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE EAKER (OWNER)
(407) 894-9984
Entity
Organization
Contact information
Practice address
717 ALTALOMA AVE, SUITE B, ORLANDO, FL 32803-4158
(407) 894-9984
(407) 541-2015
Mailing address
717 ALTALOMA AVE, SUITE B, ORLANDO, FL 32803-4158
(407) 894-9984
(407) 541-2015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HCC4037
FL
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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