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Organization

MICHAEL W. MATHESIE, D.C.,P.A.

Active
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Organization

MICHAEL W. MATHESIE, D.C.,P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MATHESIE (BOD)
(954) 755-1434
Entity
Organization

Contact information

Practice address
10617 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071-5610
(954) 755-1434
Mailing address
10617 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071-5610

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
111NR0400X
Rehabilitation Chiropractor
Primary
111NS0005X
Sports Physician Chiropractor
208VP0000X
Pain Medicine Physician

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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