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Organization
FAMILY HEALTH & WELLNESS CENTER OF PEMBROKE PINES INC.LIFE CHIROPRACTI
Active
Organization
FAMILY HEALTH & WELLNESS CENTER OF PEMBROKE PINES INC.LIFE CHIROPRACTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L HODISH (DR.)
(954) 432-5433
Entity
Organization
Contact information
Practice address
9960 PINES BLVD, PEMBROKE PINES, FL 33024-6139
(954) 432-5433
Mailing address
9960 PINES BLVD, PEMBROKE PINES, FL 33024-6139
(954) 432-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39594
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
12/08/2006
Last updated
07/23/2014
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