Organization
BROTH SPINE AND REHABILITATION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE J BROTH DC (CHIROPRACTOR)
(908) 415-5586
Entity
Organization
Contact information
Practice address
727 NORTHLAKE BLVD, NORTH PALM BEACH, FL 33408-5242
(561) 904-6066
(561) 904-6076
Mailing address
902 SW LOST RIVER SHORES DR, STUART, FL 34997-7449
(908) 415-5586
(772) 221-1682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9754
FL
Other
Enumeration date
10/18/2010
Last updated
11/03/2011
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