Organization
BRACKEN CHIROPRACTIC HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P BRACKEN D.C. (OWNER)
(352) 799-7977
Entity
Organization
Contact information
Practice address
955 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3119
(352) 799-1977
Mailing address
955 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3119
(352) 799-1977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381630300
—
FL
Enumeration date
01/07/2008
Last updated
05/07/2008
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