Organization
BELLEVIEW CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWNNA MOBLEY (ACCOUNTS PAYABLE)
(352) 245-0145
Entity
Organization
Contact information
Practice address
11730 SE US HIGHWAY 441, BELLEVIEW, FL 34420-4560
(352) 245-0145
(352) 245-1512
Mailing address
11730 SE US HIGHWAY 441, BELLEVIEW, FL 34420-4560
(352) 245-0145
(352) 245-1512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K3146
MEDICARE GROUP
FL
Enumeration date
01/23/2007
Last updated
05/29/2012
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