SPACE COAST CORPORATE HEALTH SERVICE P A NPI 1356334718

NPI Information

SPACE COAST CORPORATE HEALTH SERVICE P A is a chiropractor in Melbourne, 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. SPACE COAST CORPORATE HEALTH SERVICE P A NPI is 1356334718. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Scchs.

The provider's business location address is:

145 PALM BAY RD NE
STE 120
MELBOURNE, FL
ZIP 32904-601
Phone: (321) 725-8778
Fax: (321) 984-5299

The provider's authorized official is Bradley Je Clow .
The authorized official title is President and has the following contact phone number (321) 725-8778.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 8/5/2008.

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:

Other Identifiers

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

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