Organization · Type 2 NPI
Service for Life Inc
Chiropractor · Port Orange, FL
NPI number
1417415449
Active
Practice location
720 Dunlawton Ave Ste 200
Port Orange, FL 32127-4901
Fax (386) 888-1983
Mailing address
178 Reena Dr
Daytona Beach, FL 32117-0009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1417415449
Service for Life Inc's National Provider Identifier is 1417415449, issued on Mar 8, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 15, 2025.