Organization
CHIROPRACTIC RADIOLOGY CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W ATHERTON (PRESIDENT)
(305) 895-6408
Entity
Organization
Contact information
Practice address
795 NE 127TH ST, NORTH MIAMI, FL 33161-4826
(305) 895-6408
Mailing address
795 NE 127TH ST, NORTH MIAMI, FL 33161-4826
(305) 895-6408
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
CH7981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74523
BC/BS PROVIDER NUMBER
FL
Enumeration date
08/14/2006
Last updated
08/22/2020
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