Provider Demographics
NPI:1427125111
Name:BEST IMAGE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BEST IMAGE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AGAEZI
Authorized Official - Middle Name:O
Authorized Official - Last Name:IKWUGWALU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-294-2007
Mailing Address - Street 1:815 N PINE HILLS RD
Mailing Address - Street 2:B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7234
Mailing Address - Country:US
Mailing Address - Phone:407-294-2007
Mailing Address - Fax:407-294-2263
Practice Address - Street 1:815 N PINE HILLS RD
Practice Address - Street 2:B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7234
Practice Address - Country:US
Practice Address - Phone:407-294-2007
Practice Address - Fax:407-294-2263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty