HEISE CHIROPRACTIC CLINIC PA
Anesthesiologist Assistant at Aloma Ave, Winter Park, FL

License number
Florida 1603
Category
Chiropractic
Type
Nutrition
Owner
Name: DR. DOUGLAS ARNOLD HEISE D.C.
Title: PRESIDENT
Phone: (407) 677-1660
Address
Address
3592 Aloma Ave SUITE 3, Winter Park, FL 32792
National Provider ID: 1780736157
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HEISE CHIROPRACTIC CLINIC, PA

Winter Park, FL

Registration:
Apr 23, 1974
Addresses:
7205 Aloma Ave, Winter Park, FL 32792 (Physical)
3592 Aloma Ave, Winter Park, FL 32792
State ID:
605134
Business type:
Florida Profit Corporation
Directors:
Douglas A. Heise (President, Treasurer, Secretary), 7205 Aloma Ave, Winter Park, FL 32792 (Physical),John Jeff Bos (Director), 1450 Tuskawilla Rd, Winter Springs, FL 32708 (Physical)
Agent:
Heise, (Douglas A.),7205 Aloma Ave, Winter Park, FL 32792 (Physical)
EIN:
59-1522033

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