NPI 1891004065

Florida Professional Chiropractic

Organisation Chiropractor Lake Wales, FL

Practice location

Address: 100 S Scenic Hwy Suite 105, Lake Wales, FL 33853-3827
Phone: (863) 676-2225
Fax: (863) 676-0698

Authorised official

Name: Kellie Anne Faro
Title: Vice President
Phone: (863) 676-2225

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH6181 (FL)

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Registry record

NPI: 1891004065
Entity type: Organization
NPI issued: 5 Oct 2010
Record last updated: 6 Jun 2011

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.