Provider Demographics
NPI:1467669101
Name:ORLANDO NECK & BACK CENTER, INC.
Entity Type:Organization
Organization Name:ORLANDO NECK & BACK CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:BENSON
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-282-3615
Mailing Address - Street 1:PO BOX 4549
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32793-4549
Mailing Address - Country:US
Mailing Address - Phone:407-772-2225
Mailing Address - Fax:407-772-0302
Practice Address - Street 1:483 N SEMORAN BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3800
Practice Address - Country:US
Practice Address - Phone:407-772-2225
Practice Address - Fax:407-772-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty