Organization
ELAN VITAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER V MATRALE D.C. (PRESIDENT)
(954) 267-9963
Entity
Organization
Contact information
Practice address
4640 N FEDERAL HWY, SUITE D, FORT LAUDERDALE, FL 33308-5205
(954) 267-9963
Mailing address
4640 N FEDERAL HWY, SUITE D, FORT LAUDERDALE, FL 33308-5205
(954) 267-9963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9017
FL
Other
Enumeration date
02/27/2007
Last updated
01/24/2014
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