Provider Demographics
NPI:1891484408
Name:ESTEL, VICTORIA JOY (DC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:JOY
Last Name:ESTEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LOUISBURG LN UNIT A
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-9707
Mailing Address - Country:US
Mailing Address - Phone:901-240-3238
Mailing Address - Fax:
Practice Address - Street 1:34 LOUISBURG LN UNIT A
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-9707
Practice Address - Country:US
Practice Address - Phone:901-240-3238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor