Broward Physical Medicine
Chiropractor in Oakland Park, FL. Organization (NPI-2).
NPI number1033518436
StatusActive
Last updated in NPPESAug 21, 2014
Details
- NPI
- 1033518436
- Entity type
- Organization (NPI-2)
- Legal business name
- Broward Physical Medicine
- Organization subpart
- No
- Enumeration date
- Aug 21, 2014
- Last updated
- Aug 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | FL | Yes |
Other names
- South Florida Spine And Rehab Centers (Doing Business As)
Practice location
2121 W Oakland Park BlvdSuit 10b
Oakland Park, FL 33311-1529
Phone 954-617-1011
Mailing address
Po Box 15888West Palm Beach, FL 33416-5888
Phone 561-729-7089
Authorized official
Ryan A. Grand
Presidnet
5617297092
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