Provider Demographics
NPI:1720424658
Name:REGIONS ALL CARE CENTER INC
Entity Type:Organization
Organization Name:REGIONS ALL CARE CENTER INC
Other - Org Name:REGIONS ALL CARE CENTER INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:CH
Authorized Official - Phone:407-872-2215
Mailing Address - Street 1:5385 CONROY RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-3719
Mailing Address - Country:US
Mailing Address - Phone:407-872-2215
Mailing Address - Fax:407-872-2221
Practice Address - Street 1:5385 CONROY RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-3719
Practice Address - Country:US
Practice Address - Phone:407-872-2215
Practice Address - Fax:407-872-2221
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONS ALL CARE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-19
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH5124OtherCH LICENSE