10D1065038 CLIA NUMBER - BRUCE M FISHER DC PA

Laboratory Demographics

CLIA Number: 10D1065038

Facility Name: BRUCE M FISHER DC PA

Facility Address:
851 MEADOWS RD #213
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 392-1333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356350367

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	10D1065038
LAB Type	Physician Office
Facility Name	BRUCE M FISHER DC PA
Street	851 MEADOWS RD #213
City	BOCA RATON
State	FL
ZIP	33486
Phone	561 392-1333
CertificateType	4
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024