Atlas 1st Health & Wellness Center, Llc

NPI 1144593385 - Chiropractor - 111N00000X

NPI Details
NPI 1144593385
Enumeration Date 02/20/2012
Last Updated 02/20/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RENEE LYNN RENEE
Position OWNER
Phone (321) 622-4447
Fax
Practice Location
1600 W EAU GALLIE BLVD
STE. #104
MELBOURNE FL, 32935-4149, US
Phone (321) 622-4447
Fax
Business Location
1600 W EAU GALLIE BLVD
STE. #104
MELBOURNE FL, 32935-4149, US
Phone (321) 622-4447
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH9842
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According to our database, Atlas 1st Health & Wellness Center, Llc NPI is 1144593385, taxonomy code is 111N00000X and license number is CH9842, license state is located at Florida. Atlas 1st Health & Wellness Center, Llc physically located at 1600 W Eau Gallie Blvd, Melbourne FL, 32935-4149. NPI Number 1033115704 has the healthcare provider type.

1144593385 NPI number is provided on an as is basis without warranty of any kind. 1144593385 is maintained by the National Plan & Provider Enumeration System. The contents of Atlas 1st Health & Wellness Center, Llc are for informational purposes only.