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Mallory Chiropractic Clinic Pa
Chiropractor in Daytona Beach, Florida
NPI 1164408696

Mallory Chiropractic Clinic Pa is a Chiropractor based in Daytona Beach, FL. Mallory Chiropractic Clinic Pa practices in Daytona Beach, FL. The NPI Number for Mallory Chiropractic Clinic Pa is 1164408696 and holds a License No. CH0005944 (Florida).

The current practice location address for Mallory Chiropractic Clinic Pa is 1033 S Ridgewood Ave, Daytona Beach, FL and can be reached out via phone at 386-248-8000 and via fax at 386-252-1850.

Location: 1033 S Ridgewood Ave, Daytona Beach, FL, 32114-6151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164408696
Provider Name
Mallory Chiropractic Clinic Pa
Credential
Provider Entity Type
Organization
Address
1033 S Ridgewood Ave, Daytona Beach, FL, 32114-6151
Phone Number
386-248-8000
Fax Number
386-252-1850
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
380856400 05 FL
350049800 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1033 S Ridgewood Ave
City
Daytona Beach
State
Florida
Zip
32114-6151
Phone Number
386-248-8000
Fax Number
386-252-1850
person
Provider Business Mailing Address Details
Address
1033 S Ridgewood Ave
City
Daytona Beach
State
Florida
Zip
32114-6151
Phone Number
386-248-8000
Fax Number
386-252-1850
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH0005944 (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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