Tamarac Chiropractic & Medical Center LLC
Clinic/Center in Tamarac, FL. Organization (NPI-2).
NPI number1104715804
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1104715804
- Entity type
- Organization (NPI-2)
- Legal business name
- Tamarac Chiropractic & Medical Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
5463 N State Road 7Tamarac, FL 33319-2954
Phone 954-306-3166 · Fax 954-306-3162
Mailing address
5463 N State Road 7Tamarac, FL 33319-2954
Phone 954-306-3166 · Fax 954-306-3162
Authorized official
David James Kidd
Owmer
7542462012
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All 12 Clinic/Center providers in Tamarac · All 1,820 providers in Tamarac
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