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Organization

BANACKI CHIROPRACTIC SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN R BANACKI DC (PRESIDENT)
(727) 786-8991
Entity
Organization

Contact information

Practice address
2429 ALT 19, PALM HARBOR, FL 34683-2633
(727) 786-8991
(727) 784-1317
Mailing address
2429 ALT 19, PALM HARBOR, FL 34683-2633
(727) 786-8991
(727) 784-1317

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH4858
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050461100
FL
Enumeration date
10/24/2007
Last updated
10/31/2012
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