Organization
LWC LAKE WORTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MOORE (CHIROPRACTOR)
(954) 384-3275
Entity
Organization
Contact information
Practice address
5817 LAKE WORTH RD, GREENACRES, FL 33463-3209
(561) 642-9500
Mailing address
4470 WESTON RD, DAVIE, FL 33331-3194
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006433700
—
FL
Enumeration date
07/03/2018
Last updated
07/03/2018
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