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
Update your record
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