Provider Demographics
NPI:1245667534
Name:CHIROWORKS, LLC
Entity type:Organization
Organization Name:CHIROWORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:LANCER
Authorized Official - Last Name:WILLAFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-589-2077
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:FL
Mailing Address - Zip Code:33877-0267
Mailing Address - Country:US
Mailing Address - Phone:863-324-5200
Mailing Address - Fax:863-324-2444
Practice Address - Street 1:5937 CYPRESS GARDENS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-2287
Practice Address - Country:US
Practice Address - Phone:863-324-5200
Practice Address - Fax:863-324-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty