100 Chiro Dehaven Pllc

NPI #1780368340 in Lake Mary, Florida

Provider Information

NPI Number
1780368340
Entity Type
Organization
Organization Name
100 Chiro Dehaven Pllc
Primary Specialty
Chiropractor
Enumeration Date
Jun 14, 2023
Last Updated
Jun 18, 2024

Practice Location

Address
446 RINEHART RD
State
Florida
ZIP Code
32746-5242
Phone
(616) 826-0275

Authorized Official

Name
DR. DORIAN EUGENE DEHAVEN, DC
Title
CHIROPRACTOR
Phone
(616) 826-0275

Specialties & Taxonomy Codes

Specialty
Chiropractor

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