Provider Demographics
NPI:1215005186
Name:CENTER FOR PHYSICIANS CARE, INC.
Entity Type:Organization
Organization Name:CENTER FOR PHYSICIANS CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:DRU
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-478-4848
Mailing Address - Street 1:PO BOX 678705
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32867-8705
Mailing Address - Country:US
Mailing Address - Phone:407-478-4848
Mailing Address - Fax:407-386-6770
Practice Address - Street 1:1320 S ORLANDO AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5556
Practice Address - Country:US
Practice Address - Phone:407-478-4848
Practice Address - Fax:407-386-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty