Organization
CUSTOMIZED HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH BOSTAPH D.C. (OWNER)
(352) 552-2181
Entity
Organization
Contact information
Practice address
1509 SOUTH ST STE 1, LEESBURG, FL 34748-6664
(352) 552-2181
Mailing address
6053 SPINNAKER LOOP, LADY LAKE, FL 32159-5922
(352) 552-2181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8400
FL
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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