Organization
CLINICAL CHIROPRACTIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICHARD COOPER D.C. (OWNER)
(754) 701-5194
Entity
Organization
Contact information
Practice address
6918 CYPRESS RD, PLANTATION, FL 33317-2318
(954) 701-5194
(954) 701-5191
Mailing address
6918 CYPRESS RD, PLANTATION, FL 33317-2318
(954) 701-5194
(954) 701-5191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382046700
—
FL
Enumeration date
08/21/2006
Last updated
09/05/2014
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