Individual
DR. GREGORY BRIGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4626 S CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL 32129-6402
(386) 523-1300
(386) 523-0944
Mailing address
672 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118
(318) 686-3152
(318) 688-5846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10194
FL
Other
Enumeration date
01/02/2011
Last updated
06/04/2018
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