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Alan Bruce Dautch, PA

Chiropractor in Plantation, FL. Organization (NPI-2).

NPI number1043757537
StatusActive
Last updated in NPPESJan 25, 2017

Details

NPI
1043757537
Entity type
Organization (NPI-2)
Legal business name
Alan Bruce Dautch, PA
Organization subpart
No
Enumeration date
Jan 23, 2017
Last updated
Jan 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH7578FLYes

Practice location

4101 Nw 4th St
#208
Plantation, FL 33317-2850

Phone 561-988-1022

Mailing address

2295 Nw Corporate Blvd
#245
Boca Raton, FL 33431-7373

Phone 561-988-1022

Authorized official

Alan Dautch
President
5619881022

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