Organization
COASTAL CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE A PERKINS D C (OFFICER)
(954) 946-3703
Entity
Organization
Contact information
Practice address
2323 NE 26TH AVE, SUITE 109, POMPANO BEACH, FL 33062-1147
(954) 946-3703
(954) 943-2280
Mailing address
2323 NE 26TH AVE, SUITE 109, POMPANO BEACH, FL 33062-1147
(954) 946-3703
(954) 943-2280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381743100
—
FL
01
—
51835
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/01/2006
Last updated
02/03/2010
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