Organization
HIGHLAND CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH L BOSTAPH DC (PRESIDENT)
(352) 638-9090
Entity
Organization
Contact information
Practice address
26540 ACE AVE, LEESBURG, FL 34748-8279
(352) 638-9090
(352) 638-9092
Mailing address
26540 ACE AVE, LEESBURG, FL 34748-8279
(352) 638-9090
(352) 638-9092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8400
FL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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