Organization
COMMUNITY CHIROPRACTOR OF HAVENDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA P. RICH-CONSIGLIO (OWNER)
(954) 649-2327
Entity
Organization
Contact information
Practice address
1606 1/2 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-1283
(863) 291-0800
Mailing address
PO BOX 1302, VALRICO, FL 33595-1302
(954) 649-2327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 6725
FL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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