Organization Name: | HEALTH CHIROPRACTIC REHAB & WELLNESS, LLC |
NPI Number: | 1013273176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN SHERIDAN MCCARTHY (MEDICAL DIRECTOR) |
Mailing Address: | 360 Douglas Ave Altamonte Springs |
State: | FL US |
Postal Code: | 327143335 |
Phone Number: | 3212099219 |
Fax Number: | 3212824146 |
NPI Enumeration Date: | 04/03/2012 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | CH0005582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |