Organization
CARLISLE CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA RUTH CARLISLE D.C. (PRESIDENT)
(321) 724-0579
Entity
Organization
Contact information
Practice address
1900 S HARBOR CITY BLVD, #109, MELBOURNE, FL 32901-4749
(321) 724-0579
(321) 724-9788
Mailing address
1900 S HARBOR CITY BLVD, #109, MELBOURNE, FL 32901-4749
(321) 724-0579
(321) 724-9788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55726
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2007
Last updated
08/22/2020
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