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Organization

MEDA-PEUTICS, LLC

Active
Other names
NutRx
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN R COLEMAN DC (PROVIDER)
(305) 609-4902
Entity
Organization

Contact information

Practice address
11451 SW 43RD DR APT 7203, MIRAMAR, FL 33025-8042
(305) 609-4902
Mailing address
11451 SW 43RD DR APT 7203, MIRAMAR, FL 33025-8042
(305) 609-4902

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
111NN1001X
Nutrition Chiropractor
171000000X
Military Health Care Provider
171400000X
Health & Wellness Coach
261QH0100X
Health Service Clinic/Center
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
05/24/2021
Last updated
07/13/2021
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