Provider Demographics
NPI:1972214369
Name:CABANISS CHIROPRACTIC & WHOLE HEALTH CLINIC, LLC
Entity Type:Organization
Organization Name:CABANISS CHIROPRACTIC & WHOLE HEALTH CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CABANISS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-994-1147
Mailing Address - Street 1:5261 HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-1532
Mailing Address - Country:US
Mailing Address - Phone:850-994-1147
Mailing Address - Fax:
Practice Address - Street 1:5261 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-1532
Practice Address - Country:US
Practice Address - Phone:850-994-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center