Provider Demographics
NPI:1003246901
Name:TOTAL CHIROPRACTIC & FAMILY WELLNESS
Entity Type:Organization
Organization Name:TOTAL CHIROPRACTIC & FAMILY WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-562-1316
Mailing Address - Street 1:20423 STATE ROAD 7 STE F6-482
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6797
Mailing Address - Country:US
Mailing Address - Phone:954-562-1316
Mailing Address - Fax:
Practice Address - Street 1:20423 STATE ROAD 7 STE F6-482
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6797
Practice Address - Country:US
Practice Address - Phone:954-562-1316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty