Provider Demographics
NPI:1194026245
Name:NORTH BROWARD CHIROPRACTIC AND WELLNESS CENTER
Entity Type:Organization
Organization Name:NORTH BROWARD CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAI
Authorized Official - Middle Name:M
Authorized Official - Last Name:KARPF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-426-1100
Mailing Address - Street 1:6544 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3624
Mailing Address - Country:US
Mailing Address - Phone:954-426-1100
Mailing Address - Fax:954-426-4208
Practice Address - Street 1:6544 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3624
Practice Address - Country:US
Practice Address - Phone:954-426-1100
Practice Address - Fax:954-426-4208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9238302R00000X
FLCH9240302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization