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Organization

PT MALABAR CHIROPRACTIC CLINIC INC

Active
Other names
Port Malabar Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN W ROBERTS D.C. (PRESIDENT)
(321) 725-5200
Entity
Organization

Contact information

Practice address
5201 BABCOCK ST NE STE 1, PALM BAY, FL 32905-4637
(321) 725-5200
(321) 725-8770
Mailing address
5201 BABCOCK ST NE STE 1, PALM BAY, FL 32905-4637
(321) 725-5200
(321) 725-8770

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CH5772
FL

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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