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Organization
PARK AVENUE CHIROPRACTIC LLC
Active
Organization
PARK AVENUE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKELANE FLEURIMOND CCPA (OFFICE MANAGER)
(561) 848-3355
Entity
Organization
Contact information
Practice address
728 PARK AVE, LAKE PARK, FL 33403-2504
(561) 848-3355
Mailing address
728 PARK AVE, LAKE PARK, FL 33403-2504
(561) 848-3355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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