Individual
DR. ANDREW HOWARD THAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10800 N MILITARY TRL, SUITE 111, PALM BEACH GARDENS, FL 33410-6527
(561) 775-9111
(561) 775-9131
Mailing address
10800 N MILITARY TRL, SUITE 111, PALM BEACH GARDENS, FL 33410-6527
(561) 775-9111
(561) 775-9131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051122600
—
FL
01
—
22346
BCBS
FL
01
—
22346Z
MEDICARE PTAN
FL
Enumeration date
09/05/2006
Last updated
01/10/2014
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