# WESTSIDE CHIROPRACTIC CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285966713
- **Authorized official:** DR. LISA IRENE OWEN CHIROPRACTIC PHYSICI (PRESIDENT)
- **Authorized official phone:** (954) 745-8380

## Contact information

- **Practice address:** 8430 W BROWARD BLVD STE 250, PLANTATION, FL 33324-2704
- **Practice address phone:** (954) 476-3016
- **Mailing address:** 8430 W BROWARD BLVD STE 250, PLANTATION, FL 33324-2704
- **Mailing address phone:** (954) 745-8838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CH7610 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2010
- **Last updated:** 02/09/2010