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Michael J Pettella, DC
Chiropractor in Belleview, Florida
NPI 1043200140

Michael J Pettella is a Chiropractor based in Belleview, FL. Michael J Pettella practices in Belleview, FL and has the professional credentials of DC. The NPI Number for Michael J Pettella is 1043200140 and holds a License No. CH0006496 (Florida).

The current practice location address for Michael J Pettella is 6175 S.e. 126Th Lane, Belleview, FL and can be reached out via phone at 352-245-8300.

Location: 6175 S.e. 126Th Lane, Belleview, FL, 34420-5208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043200140
Provider Name
Michael J Pettella
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6175 S.e. 126Th Lane, Belleview, FL, 34420-5208
Phone Number
352-245-8300
Fax Number
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350052194 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6175 S.e. 126Th Lane
City
Belleview
State
Florida
Zip
34420-5208
Phone Number
352-245-8300
Fax Number
person
Provider Business Mailing Address Details
Address
6175 S.e. 126Th Lane
City
Belleview
State
Florida
Zip
34420-5208
Phone Number
352-245-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH0006496 (Florida)
Definition
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.
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