Provider Demographics
NPI:1215626676
Name:CHIROPRACTIC TO THE MAX LLC
Entity type:Organization
Organization Name:CHIROPRACTIC TO THE MAX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:BOWMAN
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-710-7736
Mailing Address - Street 1:6996 PIAZZA GRANDE AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8753
Mailing Address - Country:US
Mailing Address - Phone:321-710-7736
Mailing Address - Fax:
Practice Address - Street 1:6996 PIAZZA GRANDE AVE STE 217
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8753
Practice Address - Country:US
Practice Address - Phone:321-710-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty