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Organization
AMERICAN INSTITUTE OF SPORT AND FUNCTION
Active
Organization
AMERICAN INSTITUTE OF SPORT AND FUNCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LUCAS D.C. (CFO)
(954) 423-8909
Entity
Organization
Contact information
Practice address
12565 ORANGE DR, SUITE 404, DAVIE, FL 33330-4303
(954) 423-8909
(954) 343-1498
Mailing address
12565 ORANGE DR, SUITE 404, DAVIE, FL 33330-4303
(954) 423-8909
(954) 343-1498
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10259
FL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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