Provider Demographics
NPI:1154660462
Name:TWIN PALMS HEALTH CENTERS
Entity Type:Organization
Organization Name:TWIN PALMS HEALTH CENTERS
Other - Org Name:JEWELL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-412-3800
Mailing Address - Street 1:579 S INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3751
Mailing Address - Country:US
Mailing Address - Phone:941-474-4944
Mailing Address - Fax:941-475-8494
Practice Address - Street 1:579 S INDIANA AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3751
Practice Address - Country:US
Practice Address - Phone:941-474-4944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty