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Organization
LEV SUDAKOV DC PA
Active
Organization
LEV SUDAKOV DC PA
Active
Other names
Ocean Drive Chiropractic & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEV SUDAKOV DC (PRESIDENT)
(954) 391-7864
Entity
Organization
Contact information
Practice address
3800 S OCEAN DR STE 230, HOLLYWOOD, FL 33019-2930
(954) 391-7864
(954) 391-8468
Mailing address
3800 S OCEAN DR STE 230, HOLLYWOOD, FL 33019-2930
(954) 391-7864
(954) 391-8468
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000170100
—
FL
Enumeration date
06/16/2008
Last updated
07/01/2019
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