Divine Chiropractic LLC

NPI #1053019141 in Altamonte Springs, Florida

Provider Information

NPI Number: 1053019141
Entity Type: Organization
Organization Name: Divine Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 20, 2023
Last Updated: Feb 20, 2023

Practice Location

Address: 385 NORTHLAKE BLVD APT 1033
City: Altamonte Springs
State: Florida
ZIP Code: 32701-5251
Phone: (407) 853-2798

Authorized Official

Name: DR. DESLA CHARLERY, DC
Title: DOCTOR/AUTHORIZED REPRESENTATIVE
Phone: (412) 652-6921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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