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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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