Organization
FORT LAUDERDALE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE W WHITE D.C. (OWNER)
(954) 463-2404
Entity
Organization
Contact information
Practice address
200 SE 12TH ST, FT LAUDERDALE, FL 33316-1816
(954) 463-2404
(954) 463-2307
Mailing address
200 SE 12TH ST, FT LAUDERDALE, FL 33316-1816
(954) 463-2404
(954) 463-2307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380318000
—
FL
Enumeration date
12/29/2010
Last updated
01/31/2011
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