in Boca Raton - Chiropractor

- NPI 1588776660

is a Chiropractor in Boca Raton, Florida. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1588776660. The last update date is .

's current location address is 1383 W Palmetto Park Rd, Boca Raton, Florida. You can contact this provider via phone number 5613389200 and fax number 5613383651. The mailing address for is 1383 W Palmetto Park Rd, Boca Raton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1383 W Palmetto Park Rd, Boca Raton, Florida
Phone Number 5613389200
Fax Number 5613383651
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1588776660
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1383 W Palmetto Park Rd
City Boca Raton
State Florida (FL)
Post Code 334863314
Phone Number 5613389200
Fax Number 5613383651

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CH0002020
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
77574 FL BLUE CROSS BLUE SHIELD

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