Provider Demographics
NPI:1366681413
Name:WOJCIK, CHRISTOPHER LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:WOJCIK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 E SILVER HAMMOCK
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-0908
Mailing Address - Country:US
Mailing Address - Phone:407-496-7998
Mailing Address - Fax:
Practice Address - Street 1:760 S VOLUSIA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-6541
Practice Address - Country:US
Practice Address - Phone:386-218-3799
Practice Address - Fax:386-218-3835
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor