Individual
DR. BLAKE TISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
750 E SAMPLE RD STE 3-4, POMPANO BEACH, FL 33064-5138
(561) 576-7740
Mailing address
8177 GLADES RD STE 24, BOCA RATON, FL 33434-4063
(561) 487-7200
(561) 487-7229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10137
FL
Other
Enumeration date
10/29/2010
Last updated
02/24/2022
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