Ocean Drive Chiropractic & Wellness Center | |
3800 S Ocean Dr Ste 230, Hollywood, FL 33019-2930 | |
(954) 391-7864 | |
(954) 391-8468 |
Full Name | Ocean Drive Chiropractic & Wellness Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 3800 S Ocean Dr Ste 230, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457511172 | NPI | - | NPPES |
000170100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH8450 (Florida) | Primary |
Provider Name | Lev H Sudakov |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376540468 PECOS PAC ID: 6800835299 Enrollment ID: I20050426000433 |
Mailing Address | Practice Location Address |
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Ocean Drive Chiropractic & Wellness Center 3800 S Ocean Dr Ste 230, Hollywood, FL 33019-2930 Ph: (954) 391-7864 | Ocean Drive Chiropractic & Wellness Center 3800 S Ocean Dr Ste 230, Hollywood, FL 33019-2930 Ph: (954) 391-7864 |
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