Organization
CHIROPRACTIC USA OF BUFFALO RIDGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENNY M EDELSON D.C. (CHIROPRACTOR/OWNER)
(954) 270-2884
Entity
Organization
Contact information
Practice address
3614 WEDGEWOOD LN, THE VILLAGES, FL 32162-9318
(352) 259-2225
(352) 259-4411
Mailing address
7668 S.W. 60TH AVENUE, SUITE 500, OCALA, FL 34476-6404
(352) 351-2872
(352) 351-0003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000ZG
BCBS
FL
Enumeration date
08/05/2010
Last updated
08/30/2016
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