Organization
BACK IN MOTION SPINAL CLINIC,INC
Active
Organization
BACK IN MOTION SPINAL CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN HARRIS KALODISH DC (OWNER)
(954) 748-1004
Entity
Organization
Contact information
Practice address
2704 N UNIVERSITY DR, SUNRISE, FL 33322-2435
(954) 748-1004
Mailing address
2704 N UNIVERSITY DR, SUNRISE, FL 33322-2435
(954) 748-1004
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH0007076
FL
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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