NPI 1811495617

East Lake Chiropractic & Medical Center, INC.

Organisation General Practice Physician Saint Cloud, FL

Practice location

Address: 4028 13th St, Saint Cloud, FL 34769-6773
Phone: (407) 957-9995
Fax: (407) 957-7536

Authorised official

Name: Christopher McNichols
Title: Owner
Phone: (407) 957-9995

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1811495617
Entity type: Organization
NPI issued: 26 Jan 2018
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.