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Organization
RENEW CHIROPRACTIC AND REHABILITATION PA
Active
Organization
RENEW CHIROPRACTIC AND REHABILITATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COTTRELL (PRESIDENT)
(954) 495-1182
Entity
Organization
Contact information
Practice address
16437 NW 14TH ST, PEMBROKE PINES, FL 33028-1316
(954) 495-1182
Mailing address
16437 NW 14TH ST, PEMBROKE PINES, FL 33028-1316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9073
FL
Other
Enumeration date
07/25/2012
Last updated
10/31/2012
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