Organization
ADVANTACARE OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI HERZOG (OFFICE MANAGER)
(407) 359-0047
Entity
Organization
Contact information
Practice address
435 WEST OAK STREET, KISSIMMEE, FL 34741
(407) 350-4951
(407) 350-4953
Mailing address
40 ALEXANDRIA BOULEVARD, SUITE 1020, OVIEDO, FL 32765
(407) 359-0047
(407) 359-3207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9595
FL
174400000X
Specialist
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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