Jack Cacic And Company Inc in Lake Worth - Sports Physician

Jack Cacic And Company Inc - NPI 1912102021

Jack Cacic And Company Inc is a Sports Physician in Lake Worth, Florida. Jack Cacic And Company Inc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jack Cacic And Company Inc is 1912102021. The last update date is 2020-08-22.

Jack Cacic And Company Inc's current location address is 17 N H St, Lake Worth, Florida. You can contact this provider via phone number 5615472210 and fax number 5615472210. The mailing address for Jack Cacic And Company Inc is 17 N H St, Lake Worth, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack Cacic And Company Inc
Address 17 N H St, Lake Worth, Florida
Phone Number 5615472210
Fax Number 5615472210
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Cacic Joseph Jack
Credentials D.C.
Telephone Number 5615472210

NPI Number Detail

NPI Number 1912102021
Provider Enumeration Date 2007-06-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 17 N H St
City Lake Worth
State Florida (FL)
Post Code 334603701
Phone Number 5615472210
Fax Number 5615472210

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No CH7724
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
54015 FL BCBS

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FAQs about Jack Cacic And Company Inc

What is the unique 10-digit identification code issued to Jack Cacic And Company Inc by the Centers for Medicare & Medicaid Services?

The Jack Cacic And Company Inc has been assigned the NPI (National Provider Identifier) 1912102021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Jack Cacic And Company Inc is physically located?

The Jack Cacic And Company Inc is physically situated at the following address: 17 N H St, Lake Worth, FL, 334603701.

What is Jack Cacic And Company Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jack Cacic And Company Inc is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912102021 to Jack Cacic And Company Inc?

The Jack Cacic And Company Inc received its 1912102021 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.

As of what date was the information regarding Jack Cacic And Company Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jack Cacic And Company Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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