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Organization

COCOA CHIROPRACTIC CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW R CANAVAN D.C. (PRESIDENT/OWNER)
(321) 636-6090
Entity
Organization

Contact information

Practice address
984 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-2128
(321) 636-6090
(321) 632-5805
Mailing address
984 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-2128
(321) 636-6090
(321) 632-5805

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093051815
CHIROPRACTOR
FL
01
1639143118
CHIROPRACTOR
FL
Enumeration date
02/04/2019
Last updated
07/13/2026
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