Individual
BRANDON LEE TORNAVACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 WOODBRIAR TRL, PORT ORANGE, FL 32129-9611
(386) 265-1579
Mailing address
3821 WOODBRIAR TRL STE 3, PORT ORANGE, FL 32129-9611
(352) 205-2049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH14758
FL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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