Organization
CORE CHIROPRACTIC & SPINAL REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BRIGOLA (CHIROPRACTIC PHYSICIAN)
(386) 523-1300
Entity
Organization
Contact information
Practice address
4626 S CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL 32129-6402
(386) 523-1300
Mailing address
4626 S CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL 32129-6402
(386) 523-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10194
FL
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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