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Organization
JIREH PROVISIONS FL I
Active
Organization
JIREH PROVISIONS FL I
Active
Other names
Alive & Free Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED CODY CAPELOTO DC (OWNER)
(954) 680-8182
Entity
Organization
Contact information
Practice address
11011 SHERIDAN ST STE 214, HOLLYWOOD, FL 33026-1531
(954) 680-8182
(954) 680-8184
Mailing address
11011 SHERIDAN ST STE 214, HOLLYWOOD, FL 33026-1531
(954) 680-8182
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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