Southern Trace Chiropractic And Massage Center Pa
LBN: Southern Trace Chiropractic And Massage Center Pa
Southern Trace Chiropractic And Massage Center Pa is an health care organization with primary practice located at 11834 County Road 101 Suite 202, The Villages FL 32162-9340. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Southern Trace Chiropractic And Massage Center Pa can be contacted via phone (352) 205-8500, or through Zielecki, Michelle Marie via phone (352) 205-8500.
Contact Information
Primary practice address
11834 County Road 101 Suite 202
The Villages FL 32162-9340
Phone: (352) 205-8500
Fax: (352) 205-8603
Website:
Authorized official contact:
Name: Zielecki, Michelle Marie Doctor of Chiropractic (DC)
Phone: (352) 205-8500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH 7914 | Florida |
Profile Details
| NPI number | 1790005569 |
|---|---|
| LBN Legal business name | Southern Trace Chiropractic And Massage Center Pa |
| DBA Doing business as | |
| Authorized official | Zielecki, Michelle Marie Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Oct 30th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790005569 | NPPES |
| Florida | Other | DS0741 | RR MEDICARE |
| Florida | Other | 000V2 | RR MEDICARE |
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