Organization
EAST LAKE CHIROPRACTIC & MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MCNICHOLS DC (OWNER)
(407) 957-9995
Entity
Organization
Contact information
Practice address
4028 13TH ST, SAINT CLOUD, FL 34769-6773
(407) 957-9995
(407) 957-7536
Mailing address
4028 13TH ST, SAINT CLOUD, FL 34769-6773
(407) 957-9995
(407) 957-7536
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
03/17/2018
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