Provider Demographics
NPI:1043403116
Name:ACCIDENT INJURY AND FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:ACCIDENT INJURY AND FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:MARSHA
Authorized Official - Last Name:DVORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-948-9777
Mailing Address - Street 1:17230 WEST DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160
Mailing Address - Country:US
Mailing Address - Phone:305-948-9777
Mailing Address - Fax:305-948-3555
Practice Address - Street 1:17230 WEST DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160
Practice Address - Country:US
Practice Address - Phone:305-948-9777
Practice Address - Fax:305-948-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL555672Medicare Oscar/Certification
U68337Medicare UPIN