Provider Demographics
NPI:1023416195
Name:HORIZON CHIROPRACTIC CARE INC.
Entity type:Organization
Organization Name:HORIZON CHIROPRACTIC CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-800-4149
Mailing Address - Street 1:9 DEL PRADO BLVD N
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2777
Mailing Address - Country:US
Mailing Address - Phone:239-800-4149
Mailing Address - Fax:
Practice Address - Street 1:9 DEL PRADO BLVD N
Practice Address - Street 2:SUITE 1
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2777
Practice Address - Country:US
Practice Address - Phone:239-800-4149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty