Organization
BALLISTREA FAMILY CHIROPRACTIC LLC
Active
Organization
BALLISTREA FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A BALLISTREA D.C. (OWNER)
(727) 868-4444
Entity
Organization
Contact information
Practice address
7236 STATE ROAD 52, SUITE 3, BAYONET POINT, FL 34667-6749
(727) 868-4444
(727) 868-2892
Mailing address
7236 STATE ROAD 52, SUITE 3, BAYONET POINT, FL 34667-6749
(727) 868-4444
(727) 868-2892
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CH8075
FL
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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