Fogarty Chiropractic Life Clinic PA

NPI #1619278447 in Rockledge, Florida

Provider Information

NPI Number: 1619278447
Entity Type: Organization
Organization Name: Fogarty Chiropractic Life Clinic PA
Primary Specialty: Chiropractor
Enumeration Date: Nov 10, 2010
Last Updated: Aug 11, 2011

Practice Location

Address: 839 BARTON BLVD
City: Rockledge
State: Florida
ZIP Code: 32955-3127
Phone: (321) 636-5200

Authorized Official

Name: DR. KEVIN GEORGE FOGARTY, CHIROPRACTOR
Title: OWNER/CHIROPRACTOR
Phone: (321) 636-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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