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Organization

FLORIDA PROFESSIONAL CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLIE ANNE FARO (VICE PRESIDENT)
(863) 676-2225
Entity
Organization

Contact information

Practice address
100 S SCENIC HWY, SUITE 105, LAKE WALES, FL 33853-3827
(863) 676-2225
(863) 676-0698
Mailing address
100 S SCENIC HWY, SUITE 105, LAKE WALES, FL 33853-3827
(863) 676-2225
(863) 676-0698

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6181
FL

Other

Enumeration date
10/05/2010
Last updated
06/06/2011
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