Organization
MATHESIE CHIROPRACTIC LIFE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W MATHESIE D.C. (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
(954) 755-1434
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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