Provider Demographics
NPI:1407052848
Name:M.J. RELIABLE INC.
Entity Type:Organization
Organization Name:M.J. RELIABLE INC.
Other - Org Name:MAJESTIC CHIROPRACTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGUILTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEREMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-291-7121
Mailing Address - Street 1:218 W MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4446
Mailing Address - Country:US
Mailing Address - Phone:407-540-1882
Mailing Address - Fax:407-540-1386
Practice Address - Street 1:218 W MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4446
Practice Address - Country:US
Practice Address - Phone:407-540-1882
Practice Address - Fax:407-540-1386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7670261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service