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DELTONA CHIROPRACTIC & ADVANCED PAIN MANAGEMENT CENTER LLC NPI 1659504553


NPI Information

NPI: 1659504553
Provider Name: DELTONA CHIROPRACTIC & ADVANCED PAIN MANAGEMENT CENTER, LLC

Doing Business As: DELTONA ADVANCED MEDICAL WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1240 E NORMANDY BLVD
DELTONA, FL
ZIP 32725
Phone: (386) 574-1464
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DELTONA CHIROPRACTIC & ADVANCED PAIN MANAGEMENT CENTER, LLC is a chiropractor in Deltona, 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. DELTONA CHIROPRACTIC & ADVANCED PAIN MANAGEMENT CENTER, LLC NPI is 1659504553. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Deltona Advanced Medical Wellness.

The provider's business location address is:

1240 E NORMANDY BLVD
DELTONA, FL
ZIP 32725-484
Phone: (386) 574-1464
Fax: (386) 574-4895

The provider's authorized official is Randy L Chaulk .
The authorized official title is Registered Agent and has the following contact phone number (386) 846-4588.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 8/26/2009.


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
1111N00000XChiropractorCH9501FLORIDAYes

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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