Individual
ALI HEIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 W HALLANDALE BEACH BLVD STE 8, PEMBROKE PARK, FL 33023-4344
(405) 921-9669
Mailing address
4520 W HALLANDALE BEACH BLVD STE 8, PEMBROKE PARK, FL 33023-4344
(405) 921-9669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12862
TX
111N00000X
Chiropractor
Primary
CH14796
FL
Other
Enumeration date
03/30/2015
Last updated
04/08/2024
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