Healthcare Provider Details

I. General information

NPI: 1871130658
Provider Name (Legal Business Name): ACCURATE HEALTHCARE EAST ORLANDO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2019
Last Update Date: 11/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7824 LAKE UNDERHILL RD STE A
ORLANDO FL
32822-8201
US

IV. Provider business mailing address

401 CANAL ST
NEW SMYRNA BEACH FL
32168-7009
US

V. Phone/Fax

Practice location:
  • Phone: 407-382-5439
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JACOB STITELER
Title or Position: OWNER
Credential: DC
Phone: 386-427-2722