Organization
DELTONA CHIROPRACTIC & ADVANCED PAIN MANAGEMENT CENTER, LLC
Active
Other names
Deltona Advanced Medical Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY L CHAULK DC (REGISTERED AGENT)
(386) 846-4588
Entity
Organization
Contact information
Practice address
1240 E NORMANDY BLVD, DELTONA, FL 32725-8484
(386) 574-1464
(386) 574-4895
Mailing address
1240 E NORMANDY BLVD, DELTONA, FL 32725-8484
(386) 574-1464
(386) 574-4895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9501
FL
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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