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Organization
GLEN SIEGEL P.A.
Active
Organization
GLEN SIEGEL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN SIEGEL D.C. (OWNER)
(954) 966-8770
Entity
Organization
Contact information
Practice address
7942 PINES BLVD, PEMBROKE PINES, FL 33024-6908
(954) 966-8770
(954) 367-1226
Mailing address
7942 PINES BLVD, PEMBROKE PINES, FL 33024-6908
(954) 966-8770
(954) 367-1226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0002753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051178100
—
FL
Enumeration date
12/26/2013
Last updated
12/26/2013
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