Organization
NEUROSPORT ELITE, PA
Active
Organization
NEUROSPORT ELITE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN LEWIN D.C. (VICE PRESIDENT)
(954) 205-3479
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84, SUITE 111, DAVIE, FL 33324-4235
(954) 800-5017
(954) 796-1491
Mailing address
10650 W STATE ROAD 84, SUITE 111, DAVIE, FL 33324-4235
(954) 800-5017
(954) 796-1491
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH5188
FL
111NS0005X
Sports Physician Chiropractor
CH6275
FL
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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