Organization
CORAL REEF CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN PEPIN D.C. (PRES)
(305) 255-2499
Entity
Organization
Contact information
Practice address
9044 SW 152ND ST, PALMETTO BAY, FL 33157-1928
(305) 255-2499
(305) 252-9849
Mailing address
9044 SW 152ND ST, PALMETTO BAY, FL 33157-1928
(305) 255-2499
(305) 252-9849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380291400
—
FL
Enumeration date
03/06/2012
Last updated
03/06/2012
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