<Unavail>

LBN: Socc Pl
<Unavail> is an health care organization with primary practice located at 4170 Town Center Blvd Suite 100, Orlando FL 32837-5873. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is the primary health care specialty. Socc Pl can be contacted via phone (407) 857-6166, or through Shebovsky, Jeffrey N. via phone (407) 857-6166.

Contact Information

Primary practice address
4170 Town Center Blvd Suite 100 Orlando FL 32837-5873
Phone: (407) 857-6166
Fax: (407) 857-0122
Website:
Map and Directions
Authorized official contact:
Name: Shebovsky, Jeffrey N. Doctor of Chiropractic (DC)
Phone: (407) 857-6166

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH6499 Florida
Chiropractic Providers / Rehabilitation 111NR0400X CH6499 Florida

Profile Details

NPI number 1861450652
LBN Legal business name Socc Pl
DBA Doing business as <Unavail>
Authorized official Shebovsky, Jeffrey N. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Mar 6th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861450652 NPPES
Florida MEDICAID 380451800

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