Organization
BROWARD INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY MIELZ (BILLING MANAGER)
(561) 482-1144
Entity
Organization
Contact information
Practice address
8333 W MCNAB RD STE 128129, TAMARAC, FL 33321-3242
(561) 386-1479
Mailing address
9858 CLINT MOORE RD # C111-274, BOCA RATON, FL 33496-1034
(561) 482-1144
(561) 482-1145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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