Individual
DR. GARY RALPH DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3077 E COMMERCIAL BLVD # 1A, FORT LAUDERDALE, FL 33308-4311
(954) 626-6446
Mailing address
3077 E COMMERCIAL BLVD # 1A, FORT LAUDERDALE, FL 33308-4311
(954) 626-6446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3492
FL
Other
Enumeration date
04/30/2018
Last updated
06/16/2018
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