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Organization
PURA VIDA CHIROPRACTIC CENTER PA
Active
Organization
PURA VIDA CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL MALDONADO JR. CHIROPRACTOR (DIRECTOR)
(561) 487-3788
Entity
Organization
Contact information
Practice address
11435 W PALMETTO PARK RD STE G, BOCA RATON, FL 33428-2602
(561) 487-3788
(561) 487-3166
Mailing address
11435 W PALMETTO PARK RD STE G, BOCA RATON, FL 33428-2602
(561) 487-3788
(561) 487-3166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380492500
—
FL
Enumeration date
07/25/2007
Last updated
11/19/2012
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