DR. Darrel Thomas Mathis, D.C.,F.A.C.O.

NPI #1679571822 in Lake City, Florida

Provider Information

NPI Number
1679571822
Entity Type
Individual
Name
DR. Darrel Thomas Mathis, D.C.,F.A.C.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor - Orthopedic
Credential
D.C.,F.A.C.O.
Enumeration Date
Jul 12, 2005
Last Updated
Apr 4, 2008

Practice Location

Address
279 SW MAIN BLVD
State
Florida
ZIP Code
32025-7050
Phone
(386) 752-4313

Specialties & Taxonomy Codes

Specialty
Chiropractor - OrthopedicOrthopedic

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