Organization
HAWTHORNE MEDICAL MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAL JAMES PELLEGRINO DC (OWNER/ CHIROPRACTOR)
(954) 658-0064
Entity
Organization
Contact information
Practice address
21722 FALL RIVER DR, BOCA RATON, FL 33428-4818
(954) 658-0064
Mailing address
21722 FALL RIVER DR, BOCA RATON, FL 33428-4818
(954) 658-0064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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