Organization
CHIROPRACTIC USA
Active
Organization
CHIROPRACTIC USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY MALAVENDA D.C. (OWNER)
(305) 443-1103
Entity
Organization
Contact information
Practice address
2150 NW 21ST ST, MIAMI, FL 33142-7318
(305) 443-1103
(786) 391-3914
Mailing address
PO BOX 420127, MIAMI, FL 33242-0127
(305) 443-1103
(305) 443-2640
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH5656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050238300
—
FL
Enumeration date
10/01/2013
Last updated
02/13/2014
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