Organization
CHOOSE LIFE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE MIRANDA (OWNER)
(321) 303-8853
Entity
Organization
Contact information
Practice address
15740 JOHNS LAKE RD, CLERMONT, FL 34711-7606
(321) 303-8853
Mailing address
15740 JOHNS LAKE RD, CLERMONT, FL 34711-7606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10261
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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