Individual
DR. GEOFFREY A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14212 W NEWBERRY RD, NEWBERRY, FL 32669-2765
(352) 331-9229
(352) 331-9230
Mailing address
14212 W NEWBERRY RD, NEWBERRY, FL 32669-2765
(352) 331-9229
(352) 331-9230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381966300
—
FL
01
—
89452
BLUE CROSS BLUE SHIELDS
FL
Enumeration date
06/29/2006
Last updated
03/16/2011
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