is a Chiropractor in Miami, Florida. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1932150554. The last update date is .
's current location address is 8303 Sw 40th St, Miami, Florida. You can contact this provider via phone number 3052261721. The mailing address for is 8303 Sw 40th St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 8303 Sw 40th St, Miami, Florida |
| Phone Number | 3052261721 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1932150554 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 8303 Sw 40th St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331553311 |
| Phone Number | 3052261721 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
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 |
|---|---|---|---|
| 264031700 | FL | -- | |
| 24416 | FL | DMS BCBS PROV NO |
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