Ultimate Medical Clinic LLC

NPI #1922692003 in Debary, Florida

Provider Information

NPI Number: 1922692003
Entity Type: Organization
Organization Name: Ultimate Medical Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DEBARY CHIROPRACTIC CENTER CORP
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Mar 1, 2021
Last Updated: Mar 1, 2021

Practice Location

Address: 70 FOX RIDGE CT STE A
City: Debary
State: Florida
ZIP Code: 32713-2752
Phone: (386) 668-6321

Authorized Official

Name: JAMIE GRAINGER, DC
Title: OWNER/CHIROPRACTOR
Phone: (386) 668-6321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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