Provider Demographics
NPI:1083886162
Name:BELVEDERE INJURIES,INC
Entity Type:Organization
Organization Name:BELVEDERE INJURIES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SABRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-514-9647
Mailing Address - Street 1:807 BELVEDERE RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-1109
Mailing Address - Country:US
Mailing Address - Phone:561-514-9647
Mailing Address - Fax:561-514-9648
Practice Address - Street 1:807 BELVEDERE RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-1109
Practice Address - Country:US
Practice Address - Phone:561-514-9647
Practice Address - Fax:561-514-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty