Alan Bruce Dautch, PA
Chiropractor in Hollywood, FL. Organization (NPI-2).
NPI number1104363696
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1104363696
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH7578 | FL | Yes |
Practice location
2832 Stirling RdSuites E & F
Hollywood, FL 33020-1127
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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