Organization
DEJESUS CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A DEJESUS DC (OFFICER)
(305) 661-4989
Entity
Organization
Contact information
Practice address
7520 S RED RD STE F, SOUTH MIAMI, FL 33143-5330
(305) 661-4989
(305) 374-0081
Mailing address
7520 S RED RD STE F, SOUTH MIAMI, FL 33143-5330
(305) 661-4989
(303) 374-0081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050688500
—
FL
01
—
39619
BLUE CROSS BLUE SHIELD GR
FL
Enumeration date
10/02/2006
Last updated
06/04/2022
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