Organization
OPTIMUM WELLNESS & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BLUM D.C. (CHIROPRACTOR/OWNER)
(954) 441-7100
Entity
Organization
Contact information
Practice address
1805 S 25TH ST # 1, FORT PIERCE, FL 34947-4752
(954) 441-7100
Mailing address
1910 NW 120TH TER, PEMBROKE PINES, FL 33026-1944
(954) 441-7100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
CH6210
FL
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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