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AHAVA-5772 LLC NPI 1417403221


NPI Information

NPI: 1417403221
Provider Name: AHAVA-5772, LLC

Doing Business As: NAMASTE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5540 PGA BOULEVARD
SUITE 100
PALM BEACH GARDENS, FL
ZIP 33418
Phone: (561) 596-2714
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AHAVA-5772, 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. AHAVA-5772, LLC NPI is 1417403221. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Namaste Chiropractic.

The provider's business location address is:

5540 PGA BOULEVARD
SUITE 100
PALM BEACH GARDENS, FL
ZIP 33418
Phone: (561) 596-2714

The provider's authorized official is Beth Joy Kozak .
The authorized official title is Manager and has the following contact phone number (561) 596-2714.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 9/2/2016.


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
1111N00000XChiropractorCH7712FLORIDAYes

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
1ES056ZOTHERFLORIDAMEDICARE 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: 4/28/2024

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