UMATILLA CHIROPRACTIC LLC
Ambulatory Health at Umatilla Blvd, Umatilla, FL

License number
Florida CH9512
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. MARK T ZIMMERMAN D.C.
Title: OWNER
Phone: (352) 459-6411
Address
Address
533 Umatilla Blvd, Umatilla, FL 32784
National Provider ID: 1972930691
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UMATILLA CHIROPRACTIC LLC

533 Umatilla Blvd, Umatilla, FL 32784

Industry:
Chiropractor's Office
Registration:
Jun 21, 2013
State ID:
L13000089782
Business type:
Florida Limited Liability Company
Manager:
Mark Zimmerman (Manager), 533 Umatilla Blvd, Umatilla, FL 32784 (Physical)
Agent:
Zimmerman, Mark,533 Umatilla Blvd, Umatilla, FL 32784 (Physical)
EIN:
46-3021446

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