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NPI Code Detail

MEDICARE: HOGLUND CHIROPRACTIC CENTER PA

MEDICARE: HOGLUND CHIROPRACTIC CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHOOO5125FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CHOOO5125OTHERFLSTATE LICENSE #

General Provider Information

NPI Number : 1215088836
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOGLUND CHIROPRACTIC CENTER PA
Provider Business Mailing Address
First Line : 1395 N COURTENAY PKWY STE 205
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4475
Country : US
Telephone Number : 321-452-5826
Fax Number : 321-452-5750
Provider Business Practice Location Address
First Line : 1395 N COURTENAY PKWY STE 205
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4475
Country : US
Telephone Number : 321-452-5826
Fax Number : 321-452-5750
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDWARD WILLIAM HOGLUND
Credential : D.C.
Telephone Number : 321-452-5826
Provider Enumeration Date : 01/12/2007
Last Update Date : 08/22/2020

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Directions to “HOGLUND CHIROPRACTIC CENTER PA ” Practice Location

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