Regatta Chiropractic and Laser Center INC

NPI #1083962526 in Destin, Florida

Provider Information

NPI Number: 1083962526
Entity Type: Organization
Organization Name: Regatta Chiropractic and Laser Center INC
Primary Specialty: Chiropractor
Enumeration Date: Aug 15, 2012
Last Updated: Nov 26, 2012

Practice Location

Address: 4481 LEGENDARY DR
Address 2: SUITE 150
City: Destin
State: Florida
ZIP Code: 32541-5381
Phone: (850) 424-7856

Authorized Official

Name: DR. SHAWNA HOGAN
Title: CHIROPRACTOR
Phone: (850) 748-6102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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