Heathrow Family Chiropractic

NPI 1467737130 - Chiropractor - 111N00000X

NPI Details
NPI 1467737130
Enumeration Date 10/13/2011
Last Updated 10/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KELLY KELLY
Position OWNER/MANAGER
Phone (407) 756-6998
Fax
Practice Location
1130 TOWNPARK AVE
SUITE 1116
LAKE MARY FL, 32746-4787, US
Phone (407) 756-6998
Fax
Business Location
1601 CHERRY LAKE WAY
LAKE MARY FL, 32746-1962, US
Phone (407) 756-6998
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH10438
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According to our database, Heathrow Family Chiropractic NPI is 1467737130, taxonomy code is 111N00000X and license number is CH10438, license state is located at Florida. Heathrow Family Chiropractic physically located at 1130 Townpark Ave, Lake Mary FL, 32746-4787. NPI Number 1033115704 has the healthcare provider type.

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1467737130 NPI number is provided on an as is basis without warranty of any kind. 1467737130 is maintained by the National Plan & Provider Enumeration System. The contents of Heathrow Family Chiropractic are for informational purposes only.