Organization
CHARLES E LIOTT D C P A
Active
Other names
LIOTT BACK AND NECK CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E LIOTT DC (OWNER)
(941) 923-2567
Entity
Organization
Contact information
Practice address
2477 STICKNEY POINT RD, SUITE 202A, SARASOTA, FL 34231-4076
(941) 923-2567
Mailing address
2477 STICKNEY POINT RD, SUITE 202A, SARASOTA, FL 34231-4076
(941) 923-2567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45906
BLUE CROSS GROUP
FL
Enumeration date
01/16/2008
Last updated
05/29/2008
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