Provider Demographics
NPI:1427277391
Name:US CHIROMATRIX CENTERS, CORP
Entity type:Organization
Organization Name:US CHIROMATRIX CENTERS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-574-6367
Mailing Address - Street 1:6444 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-6820
Mailing Address - Country:US
Mailing Address - Phone:407-574-6367
Mailing Address - Fax:727-216-9736
Practice Address - Street 1:6444 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-6820
Practice Address - Country:US
Practice Address - Phone:407-574-6367
Practice Address - Fax:727-216-9736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty