Organization · NPI-2

Ahava-5772, LLC

Chiropractor · Palm Beach Gardens, FL

NPI number1417403221
StatusActive
Last updated in NPPESSep 2, 2016

Details

NPI
1417403221
Entity type
Organization (NPI-2)
Legal business name
Ahava-5772, LLC
Organization subpart
No
Enumeration date
Aug 31, 2016
Last updated
Sep 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH7712FLYes

Other names

  • Namaste Chiropractic (Doing Business As)

Practice location

5540 Pga Boulevard
Suite 100
Palm Beach Gardens, FL 33418

Phone 561-596-2714

Mailing address

5540 Pga Boulevard
Suite 100
Palm Beach Gardens, FL 33418

Phone 561-596-2714

Authorized official

Beth Joy Kozak
Manager
5615962714

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