Provider Demographics
NPI:1710203260
Name:FAMILY CHIROPRACTIC HEALTH CENTERS CORP
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC HEALTH CENTERS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KURT
Authorized Official - Last Name:DAHMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-596-1900
Mailing Address - Street 1:13315 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-4888
Mailing Address - Country:US
Mailing Address - Phone:352-596-1900
Mailing Address - Fax:352-596-9888
Practice Address - Street 1:13315 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-4888
Practice Address - Country:US
Practice Address - Phone:352-596-1900
Practice Address - Fax:352-596-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty