Healthcare Provider Details

I. General information

NPI: 1790968055
Provider Name (Legal Business Name): FOR YOUR HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SE 17TH ST STE. 201
OCALA FL
34471-4196
US

IV. Provider business mailing address

2100 SE 17TH ST STE. 201
OCALA FL
34471-4196
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-0566
  • Fax:
Mailing address:
  • Phone: 352-861-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK H CHEN
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 352-861-0566