Provider Demographics
NPI:1376338533
Name:VICTORIA CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VICTORIA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:WHARTON
Authorized Official - Last Name:HARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-327-1402
Mailing Address - Street 1:1255 VICTORIA HILLS DR N
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-8864
Mailing Address - Country:US
Mailing Address - Phone:812-327-1402
Mailing Address - Fax:
Practice Address - Street 1:1255 VICTORIA HILLS DR N
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-8864
Practice Address - Country:US
Practice Address - Phone:812-327-1402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty