Organization
RAYMOND G NIETZOLD DC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND GEORGE NIETZOLD D.C. (PRESIDENT)
(727) 585-4488
Entity
Organization
Contact information
Practice address
1745 S HIGHLAND AVE STE 2, CLEARWATER, FL 33756-1852
(727) 585-4488
Mailing address
1745 S HIGHLAND AVE STE 2, CLEARWATER, FL 33756-1852
(727) 585-4488
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH0004038
FL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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