Provider Demographics
NPI:1902381866
Name:WHITE LION VENTURES INC
Entity Type:Organization
Organization Name:WHITE LION VENTURES INC
Other - Org Name:WHITE LION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-732-0200
Mailing Address - Street 1:801 NE 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6319
Mailing Address - Country:US
Mailing Address - Phone:352-732-0200
Mailing Address - Fax:352-732-2623
Practice Address - Street 1:801 NE 25TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6319
Practice Address - Country:US
Practice Address - Phone:352-732-0200
Practice Address - Fax:352-732-2623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty