Organization
ENCOMPASS CHIROPRACTIC EAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LASA DC (OWNER/PHYSICIAN)
(407) 740-3535
Entity
Organization
Contact information
Practice address
6485 S CHICKASAW TRL, UNIT #A103, ORLANDO, FL 32829-8366
(407) 704-3535
Mailing address
6485 S CHICKASAW TRL, UNIT #A103, ORLANDO, FL 32829-8366
(407) 704-3535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111N00000X
TOXONOMY CODE
FL
Enumeration date
12/28/2015
Last updated
12/28/2015
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