Organization
DAVID R PUENTES DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROGELIO PUENTES D.C. (CHIROPRACTOR/OWNER)
(863) 533-2766
Entity
Organization
Contact information
Practice address
795 S BROADWAY AVE, BARTOW, FL 33830-5602
(863) 533-2766
(863) 533-0998
Mailing address
795 S BROADWAY AVE, BARTOW, FL 33830-5602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001506900
—
FL
Enumeration date
12/09/2015
Last updated
12/09/2015
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