Organization
ADVANCED SPINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK JEFFREY LEMMON D.C. (PRESIDENT)
(863) 293-0040
Entity
Organization
Contact information
Practice address
1125 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-0040
(863) 294-1419
Mailing address
1125 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-0040
(863) 294-1419
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CH 9923
FL
Other
Enumeration date
12/30/2011
Last updated
04/23/2013
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