South Lake Chiropractic PA

NPI #1679725527 in Clermont, Florida

Provider Information

NPI Number: 1679725527
Entity Type: Organization
Organization Name: South Lake Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Oct 22, 2008
Last Updated: Mar 13, 2009

Practice Location

Address: 255 W HIGHWAY 50
City: Clermont
State: Florida
ZIP Code: 34711-3027
Phone: (352) 394-4615

Authorized Official

Name: NICOLE FLOYD
Title: OFFICE MANAGER
Phone: (352) 394-4615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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