# DEER CREEK WELLNESS CENTER INC

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

## Provider details

- **NPI number:** 1538581624
- **Authorized official:** DR. JAMES EWING D.C. (CHIROPRACTOR)
- **Authorized official phone:** (954) 428-0225

## Contact information

- **Practice address:** 107 N POWERLINE RD, DEERFIELD BEACH, FL 33442-8037
- **Practice address phone:** (954) 428-0225
- **Mailing address:** 107 N POWERLINE RD, DEERFIELD BEACH, FL 33442-8037
- **Mailing address phone:** (954) 428-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH 7967 | FL | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 01/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 382078500 | — | FL |
| 01 | — | 53892 | BCBS | FL |