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Contact Information

ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER
15151 S US HIGHWAY 441
SUMMERFIELD, FL34491-4481
 Phone: 352-307-0033
 Fax: 352-307-1998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER · (Female)

NPI # 1255513602
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2007
Last updated 08/05/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # CH2831
  • NY License # CH2831
  • FL Medicaid 3813525-00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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