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Organization

BRA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVE ATHAN D.C. (OWNER)
(954) 987-2528
Entity
Organization

Contact information

Practice address
4001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6792
(954) 987-2528
(954) 987-2629
Mailing address
4001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6792
(954) 987-2528
(954) 987-2629

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9173
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144232802
NPI
FL
Enumeration date
08/19/2006
Last updated
08/22/2020
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