Organization
BEACHSIDE CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHY E MOUTSOPOULOS D.C. (OWNER/DOCTOR)
(386) 255-4338
Entity
Organization
Contact information
Practice address
940 N HALIFAX AVE, CLINIC, DAYTONA BEACH, FL 32118-3733
(386) 255-4338
(386) 248-1104
Mailing address
940 N HALIFAX AVE, CLINIC, DAYTONA BEACH, FL 32118-3733
(386) 255-4338
(386) 248-1104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7702
FL
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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