Individual
IGNACIO GAVALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
807 A1A, NEW SMYRNA BEACH, FL 32169-2827
(386) 410-3292
Mailing address
6951 VINTAGE LN, PORT ORANGE, FL 32128-4095
(619) 240-4235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12461
FL
Other
Enumeration date
05/02/2018
Last updated
11/12/2018
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