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Individual

DAVID NICHOLAS LUNDQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
601 AVENUE B NW, WINTER HAVEN, FL 33881-4656
(863) 293-8686
(863) 299-1764
Mailing address
601 AVENUE B NW, WINTER HAVEN, FL 33881-4656
(863) 293-8686
(863) 299-1764

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4169
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350006289
RAILROAD MEDICARE
FL
Enumeration date
07/12/2006
Last updated
10/13/2008
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