Organization
NEUROCITY JUNCTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA HUSEBOE DC (OWNER)
(954) 424-4240
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 424-4240
Mailing address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 424-4240
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
2084N0400X
Neurology Physician
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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