Individual
BENJAMIN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
250 PALM COAST PKWY NE UNIT 504, PALM COAST, FL 32137-8288
(386) 225-4291
Mailing address
2942 OAK LEA DR, SOUTH DAYTONA, FL 32119-8565
(217) 825-5355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12349
FL
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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