Organization
AMERICAN INSTITUTE OF SPORT AND FUNCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LUCAS D.C. (CFO)
(954) 423-8909
Entity
Organization
Contact information
Practice address
12565 ORANGE DR, SUITE 404, DAVIE, FL 33330-4303
(954) 423-8909
(954) 343-1498
Mailing address
12565 ORANGE DR, SUITE 404, DAVIE, FL 33330-4303
(954) 423-8909
(954) 343-1498
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10259
FL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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