National Provider Identifier Database

ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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
* Chiropractor 111N00000X
Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER

NPI Number 1255513602
Legal business name
LBN
ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER
Authorized official THOMAS MAMMANA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/28/2007
Last updated 08/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: CH2831
  • NY License #: CH2831
  • FL Medicaid: 3813525-00

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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