Organization
CHIROPRACTICUSA OF PLANTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENNY M EDELSON D.C. (PRESIDENT)
(954) 581-1999
Entity
Organization
Contact information
Practice address
300 NW 70TH AVE, SUITE 100, PLANTATION, FL 33317-2384
(954) 581-1999
(954) 581-3970
Mailing address
7668 S.W. 60TH AVENUE, SUITE 500, OCALA, FL 34476-6404
(352) 351-2872
(352) 351-0003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382267200
—
FL
01
—
97692
BCBS
FL
Enumeration date
06/20/2006
Last updated
08/29/2016
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