Organization
FOSTER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA ROTHMAN (BILLING MANAGER)
(561) 549-1403
Entity
Organization
Contact information
Practice address
5066 W ATLANTIC AVE, DELRAY BEACH, FL 33484-8129
(561) 498-8005
(561) 498-8005
Mailing address
18770 STEWART CIR APT 7, BOCA RATON, FL 33496-6635
(561) 549-1403
(561) 431-4642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10991
FL
Other
Enumeration date
06/26/2017
Last updated
07/05/2017
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