Organization
DR CHARLES PRICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD PRICE D.C. (PRESIDENT)
(352) 796-2660
Entity
Organization
Contact information
Practice address
934 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 796-2660
(352) 799-4487
Mailing address
934 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
(352) 796-2660
(352) 799-4487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 3752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000TT
BCBS
FL
05
—
002249700
—
FL
Enumeration date
11/02/2007
Last updated
10/03/2011
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