Organization
CHIROPRACTIC RENEWAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PARKER (SECERTARY)
(954) 530-0755
Entity
Organization
Contact information
Practice address
5130 NORTH FEDERAL HIGHWAY, SUITE 6, FORT LAUDERDALE, FL 33308
(954) 530-0755
(954) 530-0798
Mailing address
5130 N FEDERAL HWY, FORT LAUDERDALE, FL 33308
(954) 530-0755
(954) 530-0798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
ME103915
FL
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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