Organization
BOURNE FAMILY CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SAMUEL BOURNE D.C. (PRESIDENT/TREASURER)
(386) 789-0500
Entity
Organization
Contact information
Practice address
2425 S VOLUSIA AVE, SUITE B-2, ORANGE CITY, FL 32763-7625
(386) 789-0500
(386) 789-8182
Mailing address
2425 S VOLUSIA AVE, SUITE B-2, ORANGE CITY, FL 32763-7625
(386) 789-0500
(386) 789-8182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9261
FL
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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