Organization
BALAREZO FAMILY CHIROPRACTIC LLC
Active
Organization
BALAREZO FAMILY CHIROPRACTIC LLC
Active
Other names
Benjamin C Balarezo Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN C BALAREZO DC (MANAGER)
(305) 951-8300
Entity
Organization
Contact information
Practice address
1801 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4109
(305) 454-9610
(305) 705-3524
Mailing address
1801 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4109
(305) 454-9610
(305) 705-3524
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH9439
FL
Other
Enumeration date
07/27/2012
Last updated
04/02/2013
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