Organization
HALIFAX CHIROPRACTIC & INJURY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JACK TRAVIS UTTER D.C. (CEO)
(407) 509-1414
Entity
Organization
Contact information
Practice address
337 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2732
(386) 265-7246
(386) 265-4908
Mailing address
337 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2732
(386) 265-7246
(386) 265-4908
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH10487
FL
Other
Enumeration date
04/21/2014
Last updated
06/19/2019
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