Individual
DR. BRIAN MEVORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4805 N DIXIE HWY, OAKLAND PARK, FL 33334-3928
(954) 598-0779
Mailing address
4805 N DIXIE HWY, OAKLAND PARK, FL 33334-3928
(954) 598-0779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6579
FL
111NN0400X
Neurology Chiropractor
CH6579
FL
111NP0017X
Pediatric Chiropractor
CH6579
FL
111NR0400X
Rehabilitation Chiropractor
CH6579
FL
111NS0005X
Sports Physician Chiropractor
CH6579
FL
111NX0100X
Occupational Health Chiropractor
CH6579
FL
111NX0800X
Orthopedic Chiropractor
CH6579
FL
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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