Individual provider · Type 1 NPI
Brandon Lee Tornavacca
Chiropractor · Port Orange, FL
NPI number
1619759164
Active
Practice location
3821 Woodbriar Trl
Port Orange, FL 32129-9611
Mailing address
3821 Woodbriar Trl Ste 3
Port Orange, FL 32129-9611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH14758 (FL) |
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 1619759164
Brandon Lee Tornavacca's National Provider Identifier is 1619759164, issued on Oct 19, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on Oct 19, 2023.