Organization
AMERICAN FAMILY & SPORTS CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JANE HENNIGHAN D.C. (PRES)
(386) 760-6150
Entity
Organization
Contact information
Practice address
4649 CLYDE MORRIS BLVD UNIT 609, PORT ORANGE, FL 32129
(386) 760-6150
(386) 788-1998
Mailing address
4649 CLYDE MORRIS BLVD UNIT 609, PORT ORANGE, FL 32129-3003
(386) 760-6150
(386) 788-1998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382037800
—
FL
Enumeration date
04/08/2008
Last updated
05/18/2018
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