Organization
PRISM CHIROPRACTIC AND WELLNESS CENTER, L.L.C.
Active
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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