East Lake Chiropractic and Injury Center INC

NPI #1053574855 in Saint Cloud, Florida

Provider Information

NPI Number: 1053574855
Entity Type: Organization
Organization Name: East Lake Chiropractic and Injury Center INC
Primary Specialty: Chiropractor
Enumeration Date: Jul 2, 2008
Last Updated: Apr 26, 2017

Practice Location

Address: 4028 13TH ST
City: Saint Cloud
State: Florida
ZIP Code: 34769-6773
Phone: (407) 957-9995

Authorized Official

Name: DR. CHRISTOPHER LEE MCNICHOLS, D.C.
Title: PRESIDENT
Phone: (407) 957-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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