Provider Demographics
NPI:1174855407
Name:PREFERRED FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:PREFERRED FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-536-1300
Mailing Address - Street 1:PO BOX 138391
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34713-8391
Mailing Address - Country:US
Mailing Address - Phone:352-536-1300
Mailing Address - Fax:352-536-1305
Practice Address - Street 1:628 CAGAN VIEW RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6502
Practice Address - Country:US
Practice Address - Phone:352-536-1300
Practice Address - Fax:352-536-1305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty