10D2064648 CLIA NUMBER - JOHN T FLYNN DC

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Laboratory Demographics

CLIA Number: 10D2064648

Facility Name: JOHN T FLYNN DC

Facility Address:
77 W DEARBORN ST
ENGLEWOOD, FL
ZIP 34223
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Facility Phone Number: 941 475-1974

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376571554

Taxonomy: 111N00000X - Chiropractor
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D2064648
LAB Type	Physician Office
Facility Name	JOHN T FLYNN DC
Street	77 W DEARBORN ST
City	ENGLEWOOD
State	FL
ZIP	34223
Phone	941 475-1974
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024