RADIANT HEALTH CHIROPRACTIC LLC
Chiropractic at Dunlawton Ave, Daytona Beach, FL

License number
Florida CH9993
Category
Chiropractic
Type
Chiropractor
Owner
Name: BRANDON LAVELLE D.C.
Title: CHIROPRACTOR
Phone: (386) 308-9076
Address
Address
209 Dunlawton Ave SUITE 16, Daytona Beach, FL 32127
National Provider ID: 1184991127
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RADIANT HEALTH CHIROPRACTIC LLC

Daytona Beach, FL

Registration:
Nov 17, 2011
Addresses:
209 Dunlawton Ave SUITE 16, Port Orange, FL 32127 (Physical)
2741 S Ridgewood Ave, Daytona Beach, FL 32119
State ID:
L11000131134
Business type:
Florida Limited Liability Company
Managing Members:
Brandon W Lavelle (Managing Member), 596 Touchstone Cir, Port Orange, FL 32127 (Physical),Tasha L Lavelle (Managing Member), 596 Touchstone Cir, Port Orange, FL 32127 (Physical)
Agent:
Brandon Lavelle,596 Touchstone Cir, Port Orange, FL 32127 (Physical)
EIN:
45-3832166

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