Organization · NPI-2

Elevation Health-Miami

Chiropractor · Hialeah, FL

NPI number1649649112
StatusActive
Last updated in NPPESSep 15, 2015

Details

NPI
1649649112
Entity type
Organization (NPI-2)
Legal business name
Elevation Health-Miami
Organization subpart
Yes
Enumeration date
Sep 15, 2015
Last updated
Sep 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH6780FLYes
111N00000X ChiropractorCh10668FL

Practice location

18300 Nw 62nd Ave
Suite 210
Hialeah, FL 33015-8200

Phone 305-705-3166

Mailing address

18300 Nw 62nd Ave
Suite 210
Miami Gardens, FL 33015-8200

Authorized official

David Yachter
Owner
9544726002

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