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Organization
RADIUSTBI
Active
Organization
RADIUSTBI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MEVORAH D.C (CHIROPRACTIC PHYSICAN)
(954) 471-2133
Entity
Organization
Contact information
Practice address
4805 N DIXIE HWY, OAKLAND PARK, FL 33334-3928
(954) 598-0779
Mailing address
4805 N DIXIE HWY, OAKLAND PARK, FL 33334-3928
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NN0400X
Neurology Chiropractor
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
111NX0100X
Occupational Health Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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