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Individual

DR. CATHERINE ELAINE MOUTSOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
940 NORTH HALIFAX AVENUE, CLINIC, DAYTONA BEACH, FL 32118-3733
(386) 255-4338
(386) 248-1104
Mailing address
940 NORTH HALIFAX AVENUE, CLINIC, DAYTONA BEACH, FL 32118-3733
(386) 255-4338
(386) 248-1104

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7702
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381589700
FL
Enumeration date
10/02/2006
Last updated
09/06/2013
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