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Organization
ARIEL FOR LIFE INC.
Active
Organization
ARIEL FOR LIFE INC.
Active
Other names
Cafe of Life
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS FORMA D.C. (DOCTOR)
(561) 276-2221
Entity
Organization
Contact information
Practice address
381 NE 5TH AVE, DELRAY BEACH, FL 33483-5532
(561) 276-2221
(561) 276-2474
Mailing address
9541 AEGEAN DR, BOCA RATON, FL 33496-2111
(561) 883-9129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7733
FL
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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