Organization
ROACH FAMILY CHIROPRACTIC LLC
Active
Organization
ROACH FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK ROACH DC (PRESIDENT / CEO)
(407) 647-2009
Entity
Organization
Contact information
Practice address
251 N MAITLAND AVE, SUITE 116, ALTAMONTE SPRINGS, FL 32701-4914
(407) 647-2009
(407) 660-2009
Mailing address
251 N MAITLAND AVE, SUITE 116, ALTAMONTE SPRINGS, FL 32701-4914
(407) 647-2009
(407) 660-2009
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
9409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002190400
—
FL
Enumeration date
03/23/2009
Last updated
12/04/2010
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