Organization
NORTHLAKE MEDICAL
Active
Other names
Chiropractic & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ALBERT FORTUNATO (PRESIDENT)
(561) 627-8602
Entity
Organization
Contact information
Practice address
3450 NORTHLAKE BLVD, LAKE PARK, FL 33403
(561) 627-8602
(561) 627-8603
Mailing address
3450 NORTHLAKE BLVD, LAKE PARK, FL 33403
(561) 627-8602
(561) 627-8603
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
07/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up