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Organization

CHIROS WINTER HAVEN LLC

Active
Parent organization
CHIROS ON 54 LLC
Other names
Full Life Chiropractic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHIROS ON 54 LLC
Authorized official
DR. ENRICO DOLCECORE DC (OWNER)
(813) 428-5648
Entity
Organization

Contact information

Practice address
301 3RD ST NW STE 204, WINTER HAVEN, FL 33881-4094
(863) 268-6552
Mailing address
21754 STATE ROAD 54 STE 101, LUTZ, FL 33549-6901
(813) 428-5648
(813) 501-8700

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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