| Llc | |
|
909 Ne 20th Ave, Fort Lauderdale, FL 33304-3037 | |
| (954) 884-0704 | |
| Not Available |
| Full Name | Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 909 Ne 20th Ave, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245751338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12216 (Florida) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | CH12216 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Llc 909 Ne 20th Ave, Fort Lauderdale, FL 33304-3037 Ph: (954) 884-0704 | Llc 909 Ne 20th Ave, Fort Lauderdale, FL 33304-3037 Ph: (954) 884-0704 |
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