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General NPI Number Information
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NPI Number | 1841958519
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA HEALTH CLINIC
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 1777 S PATRICK DR
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4304
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Country | US
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Telephone | 321-987-3614
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 S PATRICK DR
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4304
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COREY HOWELL
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Credential | DC
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Telephone | 321-525-6427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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