Provider Demographics
NPI:1083905376
Name:NU LOOK REHAB INC
Entity Type:Organization
Organization Name:NU LOOK REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-493-8734
Mailing Address - Street 1:190 NE 199TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2927
Mailing Address - Country:US
Mailing Address - Phone:786-323-8189
Mailing Address - Fax:305-651-2608
Practice Address - Street 1:190 NE 199TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2927
Practice Address - Country:US
Practice Address - Phone:305-493-8734
Practice Address - Fax:305-651-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7050111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty