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Organization
SPINAL CHIROPRACTIC INC
Active
Organization
SPINAL CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL RICHARD MOSSO DC (OWNER DOCTOR)
(954) 917-4095
Entity
Organization
Contact information
Practice address
3155 N PALM AIRE DR, #205, POMPANO BEACH, FL 33069
(954) 917-4095
(954) 917-4095
Mailing address
3155 N PALM AIRE DR, #205, POMPANO BEACH, FL 33069
(954) 917-4095
(954) 917-4095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55143
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/12/2006
Last updated
08/22/2020
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