Physical Evidence | |
7035 Beracasa Way Ste 104, Boca Raton, FL 33433-3454 | |
(561) 361-4888 | |
(561) 361-4999 |
Full Name | Physical Evidence |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 7035 Beracasa Way Ste 104, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174868640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH10079 (Florida) | Primary |
Provider Name | David Lipman |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831499193 PECOS PAC ID: 4082891643 Enrollment ID: I20110607000775 |
Mailing Address | Practice Location Address |
---|---|
Physical Evidence 9858 Clint Moore Rd # C111-274, Boca Raton, FL 33496-1034 Ph: (561) 482-1144 | Physical Evidence 7035 Beracasa Way Ste 104, Boca Raton, FL 33433-3454 Ph: (561) 361-4888 |
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