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Southern Trace Chiropractic And Massage Center Pa
Chiropractor in The Villages, Florida
NPI 1790005569

Southern Trace Chiropractic And Massage Center Pa is a Chiropractor based in Belleview, FL. Southern Trace Chiropractic And Massage Center Pa practices in The Villages, FL. The NPI Number for Southern Trace Chiropractic And Massage Center Pa is 1790005569 and holds a License No. CH 7914 (Florida).

The current practice location address for Southern Trace Chiropractic And Massage Center Pa is 11834 County Road 101, The Villages, FL and can be reached out via phone at 352-205-8500 and via fax at 352-205-8603.

Location: 11834 County Road 101, The Villages, FL, 34421-0507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790005569
Provider Name
Southern Trace Chiropractic And Massage Center Pa
Credential
Provider Entity Type
Organization
Address
11834 County Road 101, The Villages, FL, 34421-0507
Phone Number
352-205-8500
Fax Number
352-205-8603
Provider Enumeration Date
06/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DS0741 01 FL RR MEDICARE
000V2 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
11834 County Road 101
City
The Villages
State
Florida
Zip
32162-9340
Phone Number
352-205-8500
Fax Number
352-205-8603
person
Provider Business Mailing Address Details
Address
11834 County Road 101
City
The Villages
State
Florida
Zip
32162-9340
Phone Number
352-205-8500
Fax Number
352-205-8603
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH 7914 (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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