Organization
CORAL RIDGE CHIROPRRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E. JACK DC (CHIROPRACTOR)
(954) 630-1616
Entity
Organization
Contact information
Practice address
2745 E OAKLAND PARK BLVD, FT LAUDERDALE, FL 33306-1635
(956) 363-0161
(954) 656-1365
Mailing address
2745 E OAKLAND PARK BLVD, FT LAUDERDALE, FL 33306-1635
(956) 363-0161
(954) 656-1365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8419
FL
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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