| Dania Beach Chiropractic Center, Pa | |
|
394 E Dania Beach Blvd Dania Beach FL 33004-3051 | |
| (954) 925-7011 | |
| (954) 925-9961 |
| Full Name | Dania Beach Chiropractic Center, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 394 E Dania Beach Blvd, Dania Beach, Florida |
| Authorized Official Name and Position | Jonathan Marc Hirsch (CHIROPRACTOR) |
| Authorized Official Contact | 9549257011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dania Beach Chiropractic Center, Pa 394 E Dania Beach Blvd Dania Beach FL 33004-3051 Ph: (954) 925-7011 | Dania Beach Chiropractic Center, Pa 394 E Dania Beach Blvd Dania Beach FL 33004-3051 Ph: (954) 925-7011 |
| NPI Number | 1528238052 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 06/01/2015 |
| Medicare PECOS PAC ID | 5395807861 |
|---|---|
| Medicare Enrollment ID | O20081217000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528238052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 7073 (Florida) | Primary |
| Provider Name | Jonathan M Hirsch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821184953 PECOS PAC ID: 0042372518 Enrollment ID: I20081217000152 |
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