Individual
DR. CHARLES A VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5575 TRAILSIDE DR, PORT ORANGE, FL 32127-9330
(386) 871-7997
Mailing address
5575 TRAILSIDE DR, PORT ORANGE, FL 32127-9330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9866
FL
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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