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CROSSROADS WELLNESS GROUP LLC NPI 1538675004


NPI Information

NPI: 1538675004
Provider Name: CROSSROADS WELLNESS GROUP, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4200 SW 54TH CT
FORT LAUDERDALE, FL
ZIP 33314
Phone: (954) 999-3458
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CROSSROADS WELLNESS GROUP, LLC is a chiropractor in Fort 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. CROSSROADS WELLNESS GROUP, LLC NPI is 1538675004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4200 SW 54TH CT
FORT LAUDERDALE, FL
ZIP 33314-726
Phone: (954) 999-3458

The provider's authorized official is Jason Lucas .
The authorized official title is Owner and has the following contact phone number (954) 999-3458.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 10/30/2019.


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
1111N00000XChiropractorNo
2111N00000XChiropractorCH10147FLORIDAYes

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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