Organization
BASSETT FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY M BASSETT D.C. (PRESIDENT)
(850) 301-0900
Entity
Organization
Contact information
Practice address
201 FLORIDA PL SE, FORT WALTON BEACH, FL 32548-5812
(850) 301-0900
(850) 301-0606
Mailing address
201 FLORIDA PL SE, FORT WALTON BEACH, FL 32548-5812
(850) 301-0900
(850) 301-0606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55835
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/17/2006
Last updated
08/22/2020
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