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Organization
INTEGRATIVE SPORTS MEDICINE AND CHIROPRACTIC LLC
Active
Organization
INTEGRATIVE SPORTS MEDICINE AND CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFF RUDY DC (CHIROPRACTOR)
(415) 420-9504
Entity
Organization
Contact information
Practice address
3305 RICE ST, COCONUT GROVE, FL 33133-5216
(305) 792-8393
Mailing address
601 NW 22ND CT, WILTON MANORS, FL 33311-3741
(415) 420-9504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11861
FL
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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