Individual
DR. ILYA SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17560 NW 27TH AVE STE 117, MIAMI GARDENS, FL 33056-4075
(305) 623-5939
Mailing address
1580 SHORELINE WAY, HOLLYWOOD, FL 33019-5010
(954) 589-8374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12573
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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