Provider Demographics
NPI:1306150529
Name:INJURY & CHIROPRACTIC CENTERS OF FLORIDA
Entity type:Organization
Organization Name:INJURY & CHIROPRACTIC CENTERS OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-479-4999
Mailing Address - Street 1:725 7TH ST W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4721
Mailing Address - Country:US
Mailing Address - Phone:941-479-4999
Mailing Address - Fax:941-479-4998
Practice Address - Street 1:725 7TH ST W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4721
Practice Address - Country:US
Practice Address - Phone:941-479-4999
Practice Address - Fax:941-479-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty