Organization
FORT MEADE CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER GLENN HAAG D.C. (PRESIDENT)
(863) 285-8686
Entity
Organization
Contact information
Practice address
111 W BROADWAY ST, FORT MEADE, FL 33841-3305
(863) 285-8686
(863) 285-9527
Mailing address
111 W BROADWAY ST, FORT MEADE, FL 33841-3305
(863) 285-8686
(863) 285-9527
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
CH 0004144
FL
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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