Individual
DR. ANDREW THOMAS PORTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
844 N STONE ST, STE 202, DELAND, FL 32720-3208
(386) 734-2592
(386) 734-1773
Mailing address
844 N STONE ST, STE 202, DELAND, FL 32720-3208
(386) 734-2592
(386) 734-1773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10739
FL
Other
Enumeration date
05/16/2013
Last updated
01/10/2014
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