Organization
MID FLORIDA MEDICAL AND CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL GALLO (OWNER)
(407) 566-0177
Entity
Organization
Contact information
Practice address
100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL 34741-2372
(407) 847-8900
Mailing address
100 PARK PLACE BLVD, SUITE 201, KISSIMMEE, FL 34741-2332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/13/2009
Last updated
11/29/2012
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