Organization
FLORIDA COAST CHIROPRACTIC CLINIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS TATALOVICH D.C. (OWNER)
(386) 265-1579
Entity
Organization
Contact information
Practice address
3821 WOODBRIAR TRAIL, SUITE 3, PORT ORANGE, FL 32129
(386) 265-1579
(386) 265-1579
Mailing address
3821 WOODBRIAR TRAIL, SUITE 3, PORT ORANGE, FL 32129
(386) 265-1579
(386) 265-1579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9744
FL
Other
Enumeration date
12/29/2016
Last updated
04/08/2021
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