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Organization
ROTH CHIROPRACTIC, PA
Active
Organization
ROTH CHIROPRACTIC, PA
Active
Other names
boca del mar chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID ROTH DC (OWNER,CHIROPRACTOR)
(561) 392-1777
Entity
Organization
Contact information
Practice address
7064 BERACASA WAY, BOCA RATON, FL 33433-3447
(561) 392-1777
(561) 750-2361
Mailing address
7064 BERACASA WAY, BOCA RATON, FL 33433-3447
(561) 392-1777
(561) 750-2361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 3916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35005495
RR MEDICARE #
FL
Enumeration date
04/24/2007
Last updated
08/22/2020
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