TINA BENNETT CHIROPRACTIC, INC.
Chiropractic at Nova Rd, Daytona Beach, FL

License number
Florida CH9317
Category
Chiropractic
Type
Chiropractor
Owner
Name: MRS. CRYSTAL L YOUNG
Title: OFFICE MANAGER
Phone: (386) 761-0520
Address
Address
3729 S Nova Rd, Daytona Beach, FL 32129
National Provider ID: 1245533603
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TINA BENNETT CHIROPRACTIC, INC

Daytona Beach, FL

Industry:
Chiropractor's Office
Registration:
Sep 14, 2010
Addresses:
5131 S Ridgewood Ave, Port Orange, FL 32127 (Physical)
3729 S Nova Rd, Daytona Beach, FL 32129
State ID:
P10000075036
Business type:
Florida Profit Corporation
Vice Presidents:
Tina M Bennett (President), 781 Bennett Rd, Daytona Beach, FL 32119 (Physical),Michael J Bennett (Vice President), 781 Bennett Rd, Daytona Beach, FL 32119 (Physical)
Agent:
Sonya Laney Cpa,5131 S Ridgewood Ave SUITE F, Port Orange, FL 32127 (Physical)
EIN:
27-3494400

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