Organization
ACTIVE SPINE CENTER OF HOMESTEAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SCOTT LOPATE D.C. (CHIROPRACTOR)
(305) 242-6665
Entity
Organization
Contact information
Practice address
33550 S DIXIE HWY, SUITE 132, FLORIDA CITY, FL 33034-5602
(305) 242-6665
(305) 242-6919
Mailing address
33550 S DIXIE HWY, SUITE 132, FLORIDA CITY, FL 33034-5602
(305) 242-6665
(305) 242-6919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382025400
—
FL
05
—
382091200
—
FL
Enumeration date
07/21/2006
Last updated
01/27/2012
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