| Organization Name: | ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER |
| NPI Number: | 1255513602 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS FRANK MAMMANA (OWNER) |
| Mailing Address: | 15151 S Us Highway 441 Summerfield |
| State: | FL US |
| Postal Code: | 344914481 |
| Phone Number: | 3523070033 |
| Fax Number: | 3523071998 |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 08/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305R00000X |
| License Number: | CH2831 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Preferred Provider Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |