Organization
PRISM CHIROPRACTIC AND WELLNESS CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARKER CLIVE DOMINIQUE DC (PRESIDENT/ CEO)
(305) 450-7739
Entity
Organization
Contact information
Practice address
2250 SW 71ST TER, DAVIE, FL 33317-7136
(305) 450-7739
Mailing address
2250 SW 71ST TER, DAVIE, FL 33317-7136
(305) 450-7739
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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