Organization
CHIROVISTA MEDICAL INC
Active
Other names
Spinal Care Center of Hollywood
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE ANDREE LATOUCHE (VICE PRESIDENT)
(954) 925-1966
Entity
Organization
Contact information
Practice address
425 N FEDERAL HWY, HOLLYWOOD, FL 33020-4618
(954) 925-1966
Mailing address
425 N FEDERAL HWY, HOLLYWOOD, FL 33020-4618
(954) 925-1966
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
HCC7446
FL
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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