Organization
HEART OF FLORIDA CHIROPRACTIC, INC.
Active
Other names
Heart of Florida Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS CARL GAGNON JR. D.C. (PRESIDENT)
(863) 422-4575
Entity
Organization
Contact information
Practice address
350 S 10TH ST, HAINES CITY, FL 33844-5602
(863) 422-4575
(863) 422-4573
Mailing address
350 S 10TH ST, HAINES CITY, FL 33844-5602
(863) 422-4575
(863) 422-4573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10138
FL
Other
Enumeration date
05/25/2011
Last updated
06/27/2012
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