Healthsource Fwb North, Llc

NPI 1437409885 - Chiropractor - 111N00000X

NPI Details
NPI 1437409885
Enumeration Date 09/13/2012
Last Updated 01/23/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SCOTT SCOTT
Position MANAGER
Phone (850) 543-0205
Fax
Practice Location
430 RACETRACK RD NE
SUITE B
FORT WALTON BEACH FL, 32547-2548, US
Phone (850) 543-0205
Fax
Business Location
430 RACETRACK RD NE
SUITE B
FORT WALTON BEACH FL, 32547-2548, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH8625
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According to our database, Healthsource Fwb North, Llc NPI is 1437409885, taxonomy code is 111N00000X and license number is CH8625, license state is located at Florida. Healthsource Fwb North, Llc physically located at 430 Racetrack Rd Ne, Fort Walton Beach FL, 32547-2548. NPI Number 1033115704 has the healthcare provider type.

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1437409885 NPI number is provided on an as is basis without warranty of any kind. 1437409885 is maintained by the National Plan & Provider Enumeration System. The contents of Healthsource Fwb North, Llc are for informational purposes only.