Organization
NEURO CIRCUIT CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HUSEBOE (PD)
(954) 410-2999
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 410-2999
Mailing address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 410-2999
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
04/19/2022
Last updated
08/01/2022
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