Organization · NPI-2

Alan Bruce Dautch, P.A.

Chiropractor · Boca Raton, FL

NPI number1952847287
StatusActive
Last updated in NPPESJan 13, 2017

Details

NPI
1952847287
Entity type
Organization (NPI-2)
Legal business name
Alan Bruce Dautch, P.A.
Organization subpart
No
Enumeration date
Jan 10, 2017
Last updated
Jan 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH7578FLYes

Practice location

1900 Glades Rd
Suite #100
Boca Raton, FL 33431-7378

Phone 561-988-1022

Mailing address

2295 Nw Corporate Blvd
#245
Boca Raton, FL 33431-7373

Phone 561-988-1022

Authorized official

Alan Bruce Dautch
President
5619881022

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