Organization
FUSION CHIROPRACTIC HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI KALIA ANCRUM DC (OWNER)
(813) 355-1600
Entity
Organization
Contact information
Practice address
680 E MAIN STREET, SUITE 101, BARTOW, FL 33830-4803
(863) 537-7330
(863) 582-9341
Mailing address
680 E MAIN STREET, SUITE 101, BARTOW, FL 33830-4803
(863) 537-7330
(863) 582-9341
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11438
FL
Other
Enumeration date
08/27/2016
Last updated
11/07/2016
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