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BOURNE FAMILY CHIROPRACTIC AND WELLNESS CENTER NPI 1598926958


NPI Information

NPI: 1598926958
Provider Name: BOURNE FAMILY CHIROPRACTIC AND WELLNESS CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2425 S VOLUSIA AVE
SUITE B-2
ORANGE CITY, FL
ZIP 32763
Phone: (386) 789-0500
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BOURNE FAMILY CHIROPRACTIC AND WELLNESS CENTER is a chiropractor in Orange City, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BOURNE FAMILY CHIROPRACTIC AND WELLNESS CENTER NPI is 1598926958. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2425 S VOLUSIA AVE
SUITE B-2
ORANGE CITY, FL
ZIP 32763-625
Phone: (386) 789-0500
Fax: (386) 789-8182

The provider's authorized official is Ashley Samuel Bourne .
The authorized official title is President/treasurer and has the following contact phone number (386) 789-0500.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor9261FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AD611ZMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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