Organization
C. STEPHENS COMPANIES, LLC
Active
Other names
Daytona Beach Shores Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL FRANCESCO STEPHENS DC (OWNER)
(386) 847-2263
Entity
Organization
Contact information
Practice address
116 DUNLAWTON BLVD, SUITE 2, DAYTONA BEACH SHORES, FL 32118-2607
(386) 756-9484
Mailing address
6535 SHAHAB LN, PORT ORANGE, FL 32128-6075
(386) 847-2263
(386) 756-9855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002381300
—
FL
Enumeration date
09/03/2010
Last updated
09/03/2010
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