Organization
DR PAMELA SHACKLEY DC PA
Active
Other names
Advanced Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA D SHACKLEY DC (ADMINISTRATOR)
(941) 955-6080
Entity
Organization
Contact information
Practice address
1217 S EAST AVE, SUITE 207, SARASOTA, FL 34239-2344
(941) 955-6080
(941) 957-1142
Mailing address
1217 S EAST AVE, SUITE 207, SARASOTA, FL 34239-2344
(941) 955-6080
(941) 957-1142
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3820050-00
—
FL
Enumeration date
07/13/2009
Last updated
02/01/2012
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