Organization
FLORIDA CHIROPRACTIC HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO TOBENAS D.C. (OWNER)
(407) 774-6800
Entity
Organization
Contact information
Practice address
7806 LAKE UNDERHILL RD, SUITE 104, ORLANDO, FL 32822-8232
(407) 730-9311
(407) 730-9310
Mailing address
7806 LAKE UNDERHILL RD, SUITE 104, ORLANDO, FL 32822-8232
(407) 730-9311
(407) 730-9310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381994900
—
FL
01
—
64003
BLUE CROSS BLUE SHIELD
—
01
—
NPI
1629122379
—
Enumeration date
01/30/2008
Last updated
12/31/2014
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