Organization
HAVENDALE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMOTHE JOSPEH (PRESIDENT)
(863) 291-0800
Entity
Organization
Contact information
Practice address
1606 HAVENDALE BLVD, WINTER HAVEN, FL 33884
(863) 291-0800
Mailing address
PO BOX 2038, HAINES CITY, FL 33845-2038
(863) 291-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
HCC7248
FL
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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