SOURCE FAMILY CHIROPRACTIC INC. - NPI 1790122752 - Chiropractor in Winter Garden, FL

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Source Family Chiropractic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE FAMILY CHIROPRACTIC INC. (NPI 1790122752) is a healthcare organization registered as a chiropractor in Winter Garden, Florida and active in the NPI registry since May 2013. The organization lists Alex Lopatnyuk, Chiropractor/ President, as its authorized official.

NPPES Registry Identity

NPI1790122752

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOURCE FAMILY CHIROPRACTIC INC.

Location Address12200 W COLONIAL DR, STE 201Winter Garden, FL 34787-4125

Mailing Address12200 W Colonial Dr, Ste 201Winter Garden, FL 34787-4125 · (407) 347-3246

Phone(407) 347-3246

Organization SubpartNo

Authorized OfficialAlex LopatnyukChiropractor/ President · (407) 347-3246

Enumeration DateMay 31, 2013

✔ NPI 1790122752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

12200 W COLONIAL DR, Winter Garden, FL 34787

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP