Organization
ATLANTIC NUTRITION CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EPITROPOULOS DC, PHD (OWNER)
(386) 274-2520
Entity
Organization
Contact information
Practice address
1663 N CLYDE MORRIS BLVD, SUITE #2, DAYTONA BEACH, FL 32117-5500
(386) 274-2520
(386) 274-2521
Mailing address
1663 NORTH CLYDE MORRIS BLVD., SUITE 2, DAYTONA BEACH, FL 32117
(386) 274-2520
(386) 274-2521
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89058
BCBS
FL
01
—
DP1865
MEDICARE RAILROAD
FL
Enumeration date
07/08/2008
Last updated
11/07/2012
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