Organization
CHIROLAB 360 SPORT & SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE NICOLE AMBROSIO (DC)
(407) 756-9327
Entity
Organization
Contact information
Practice address
3800 LAKE CENTER DR STE 4, MOUNT DORA, FL 32757-2208
(407) 756-9327
Mailing address
522 S HUNT CLUB BLVD # 201, APOPKA, FL 32703-4960
(407) 756-9327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
01/26/2026
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