100 Chiro Bevis Nutty, LLC
Chiropractor in Hollywood, FL. Organization (NPI-2).
NPI number1194441592
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1194441592
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Chiro Bevis Nutty, LLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2022
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
8570 Stirling Rd Ste 103Hollywood, FL 33024-8204
Phone 954-743-4133
Mailing address
8570 Stirling Rd Ste 103Hollywood, FL 33024-8204
Phone 954-743-4133
Authorized official
Steven Nutty
Owner
3155258770
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