Provider Demographics
NPI:1366605727
Name:ORLANDO SPORTS CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:ORLANDO SPORTS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-345-8686
Mailing Address - Street 1:6645 VINELAND RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819
Mailing Address - Country:US
Mailing Address - Phone:407-345-8686
Mailing Address - Fax:407-345-8626
Practice Address - Street 1:6645 VINELAND RD
Practice Address - Street 2:SUITE 230
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819
Practice Address - Country:US
Practice Address - Phone:407-345-8686
Practice Address - Fax:407-345-8626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8398302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization