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FORT LAUDERDALE CHIROPRACTIC CENTER NPI 1184928400


NPI Information

NPI: 1184928400
Provider Name: FORT LAUDERDALE CHIROPRACTIC CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
200 SE 12TH ST
FT LAUDERDALE, FL
ZIP 33316
Phone: (954) 463-2404
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FORT LAUDERDALE CHIROPRACTIC CENTER is a chiropractor in Ft Lauderdale, FL. The provider is 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. FORT LAUDERDALE CHIROPRACTIC CENTER NPI is 1184928400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 SE 12TH ST
FT LAUDERDALE, FL
ZIP 33316-816
Phone: (954) 463-2404
Fax: (954) 463-2307

The provider's authorized official is Wayne W White .
The authorized official title is Owner and has the following contact phone number (954) 463-2404.

The enumeration date for this NPI number is 12/29/2010 and was last updated on 1/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH0006397FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1380318000MEDICAIDFLORIDA
2U22779MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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