Back In Line Back Chiropractic Center, INC.
Clinic/Center, Multi-Specialty in Plantation, FL. Organization (NPI-2).
NPI number1285826990
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1285826990
- Entity type
- Organization (NPI-2)
- Legal business name
- Back In Line Back Chiropractic Center, INC.
- Organization subpart
- No
- Enumeration date
- Aug 16, 2007
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 207Q00000X | Family Medicine | – | – |
Practice location
6991 W Broward BlvdPlantation, FL 33317-2907
Phone 954-584-2225
Mailing address
6991 W Broward BlvdPlantation, FL 33317-2907
Phone 954-584-2225
Authorized official
Barbara Lucia Marciante
President
9545842225
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