Organization
COASTAL CITY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER CHELSIE DEMAIO DC (CHIROPRACTIC PHYSICIAN)
(941) 504-2257
Entity
Organization
Contact information
Practice address
4550 CLYDE MORRIS BLVD STE D, PORT ORANGE, FL 32129-4080
(941) 504-2257
Mailing address
3939 S ATLANTIC AVE APT A, PORT ORANGE, FL 32127-6521
(941) 504-2257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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