Orlando Spine And Wellness Center

NPI 1104215706 - Chiropractor - 111N00000X

NPI Details
NPI 1104215706
Enumeration Date 01/20/2015
Last Updated 12/07/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL THORN MICHAEL
Position PRESIDENT
Phone (321) 234-0124
Fax (321) 280-1029
Practice Location
13802 LANDSTAR BLVD
SUITE 107
ORLANDO FL, 32824-5500, US
Phone (321) 234-0124
Fax (321) 280-1029
Business Location
13802 LANDSTAR BLVD
107
ORLANDO FL, 32824-5500, US
Phone (321) 234-0124
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH11337
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According to our database, Orlando Spine And Wellness Center NPI is 1104215706, taxonomy code is 111N00000X and license number is CH11337, license state is located at Florida. Orlando Spine And Wellness Center physically located at 13802 Landstar Blvd, Orlando FL, 32824-5500. NPI Number 1033115704 has the healthcare provider type.

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1104215706 NPI number is provided on an as is basis without warranty of any kind. 1104215706 is maintained by the National Plan & Provider Enumeration System. The contents of Orlando Spine And Wellness Center are for informational purposes only.