Provider Demographics
NPI:1982035770
Name:FLORIDA CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:FLORIDA CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBENAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-774-6800
Mailing Address - Street 1:1900 BOOTHE CIRCLE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8232
Mailing Address - Country:US
Mailing Address - Phone:407-730-9311
Mailing Address - Fax:407-730-9310
Practice Address - Street 1:7806 LAKE UNDERHILL ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-6751
Practice Address - Country:US
Practice Address - Phone:407-774-6800
Practice Address - Fax:407-774-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty