Healthcare Provider Details
I. General information
NPI: 1811176845
Provider Name (Legal Business Name): AFFORDABLE CHIROPRACTIC CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2007
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
330 NW 76TH DR
GAINESVILLE FL
32607-1593
US
IV. Provider business mailing address
330 NW 76TH DR
GAINESVILLE FL
32607-1593
US
V. Phone/Fax
- Phone: 352-332-7400
- Fax: 352-331-0902
- Phone: 352-332-7400
- Fax: 352-331-0902
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH7074/CH9292 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
JOHN
T
HOEHN
Title or Position: OWNER/DOCTOR
Credential: DC, DACO
Phone: 352-332-7400