Individual
DR. IAN DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7839 113TH ST STE E, SEMINOLE, FL 33772-4671
(727) 999-1909
Mailing address
555 DR MARTIN LUTHER KING JR ST S UNIT 502, ST PETERSBURG, FL 33705-1811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13706
FL
Other
Enumeration date
04/21/2022
Last updated
08/18/2024
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