Provider Demographics
NPI:1467088971
Name:GREATER ORLANDO CHIROPRACTIC AND WELLNESS INCORPORATED
Entity Type:Organization
Organization Name:GREATER ORLANDO CHIROPRACTIC AND WELLNESS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LANDON
Authorized Official - Last Name:OLCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-395-8632
Mailing Address - Street 1:1993 DANIELS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4599
Mailing Address - Country:US
Mailing Address - Phone:407-395-8632
Mailing Address - Fax:407-395-2408
Practice Address - Street 1:1993 DANIELS RD STE 110
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4599
Practice Address - Country:US
Practice Address - Phone:407-395-8632
Practice Address - Fax:407-395-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty