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Dr. Matthew Wayne Fentress, DC
Chiropractor in Ormond Beach, Florida
NPI 1619072790

Matthew Wayne Fentress is a Chiropractor based in New Smyrna Beach, FL. Matthew Wayne Fentress practices in Ormond Beach, FL and has the professional credentials of DC. The NPI Number for Matthew Wayne Fentress is 1619072790 and holds a License No. 11802 (Florida).

The current practice location address for Matthew Wayne Fentress is 555 W Granada Blvd, Ormond Beach, FL and can be reached out via phone at 910-791-1211 and via fax at 910-791-5678.

Location: 555 W Granada Blvd, Ormond Beach, FL, 32168-8424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619072790
Provider Name
Matthew Wayne Fentress
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
555 W Granada Blvd, Ormond Beach, FL, 32168-8424
Phone Number
910-791-1211
Fax Number
910-791-5678
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085XG 01 NC BLUE CROSS
5902673 05 NC
institution
Provider Business Practice Location Address Details
Address
555 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174-9402
Phone Number
910-791-1211
Fax Number
910-791-5678
person
Provider Business Mailing Address Details
Address
555 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174-9402
Phone Number
910-791-1211
Fax Number
910-791-5678
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
11802 (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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