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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH14758 (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.