is a Chiropractor in Hollywood, Florida. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1134230154. The last update date is .
's current location address is 2415 Hollywood Blvd, Hollywood, Florida. You can contact this provider via phone number 9544560250 and fax number 9544560820. The mailing address for is 2415 Hollywood Blvd, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2415 Hollywood Blvd, Hollywood, Florida |
| Phone Number | 9544560250 |
| Fax Number | 9544560820 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1134230154 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2415 Hollywood Blvd |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330206605 |
| Phone Number | 9544560250 |
| Fax Number | 9544560820 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH6277 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 380780100 | FL | -- |
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