Individual
DR. ELIAS FORMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C, DACADC
Contact information
Practice address
4665 W ATLANTIC AVE STE C, DELRAY BEACH, FL 33445-3800
(156) 127-6222
(561) 276-2474
Mailing address
348 EASTWOOD TER, BOCA RATON, FL 33431-8264
(954) 536-1647
(561) 276-2474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7733
FL
111N00000X
Chiropractor
CH7733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7733
FLORIDA LISENCE
FL
Enumeration date
07/03/2006
Last updated
08/28/2024
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