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MABRY CHIROPRACTIC LLC NPI 1194117218


NPI Information

NPI: 1194117218
Provider Name: MABRY CHIROPRACTIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11211 PROSPERITY FARMS RD STE D223
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 758-0177
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MABRY CHIROPRACTIC, LLC is a chiropractor in Palm Beach Gardens, 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. MABRY CHIROPRACTIC, LLC NPI is 1194117218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11211 PROSPERITY FARMS RD STE D223
PALM BEACH GARDENS, FL
ZIP 33410-491
Phone: (561) 758-0177
Fax: (561) 627-9231

The provider's authorized official is Lynn Kathleen Mabry .
The authorized official title is Chiropractor/owner and has the following contact phone number (561) 758-0177.

The enumeration date for this NPI number is 2/26/2015 and was last updated on 2/26/2015.


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
1111N00000XChiropractorCH9797FLORIDAYes

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
1CO384AOTHERFLORIDAMEDICARE PTAN

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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