Organization
ELITE SPINE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR MOLINA D.C. (PRESIDENT)
(305) 890-6040
Entity
Organization
Contact information
Practice address
3107 STIRLING RD, SUITE #206, FORT LAUDERDALE, FL 33312-6565
(305) 890-6040
Mailing address
1223 FAIRLAKE TRCE, APT 811, WESTON, FL 33326-2869
(302) 562-6314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11639
FL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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