| NPI Details | |
|---|---|
| NPI | 1114288842 |
| Enumeration Date | 05/29/2012 |
| Last Updated | 05/29/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | THOMAS THOMAS |
| Position | PRESIDENT |
| Phone | (321) 961-4359 |
| Fax | |
| Practice Location | |
|---|---|
| 2025 W EAU GALLIE BLVD MELBOURNE FL, 32935-4085, US |
|
| Phone | (321) 961-4359 |
| Fax | |
| Business Location | |
|---|---|
| 2025 W EAU GALLIE BLVD MELBOURNE FL, 32935-4085, US |
|
| Phone | (321) 961-4359 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111N00000X |
| License State | Florida |
| License Number | CH5901 |
| Remove 1114288842 NPI Number | |
According to our database, Croton Chiropractic Clinic P. A. NPI is 1114288842, taxonomy code is 111N00000X and license number is CH5901, license state is located at Florida. Croton Chiropractic Clinic P. A. physically located at 2025 W Eau Gallie Blvd, Melbourne FL, 32935-4085. NPI Number 1033115704 has the healthcare provider type.
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1114288842 NPI number is provided on an as is basis without warranty of any kind. 1114288842 is maintained by the National Plan & Provider Enumeration System. The contents of Croton Chiropractic Clinic P. A. are for informational purposes only.
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