Provider Demographics
NPI:1316025380
Name:HANDS OF HEALING CHIROPRACTIC CENTRE INC
Entity Type:Organization
Organization Name:HANDS OF HEALING CHIROPRACTIC CENTRE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-392-3900
Mailing Address - Street 1:1599 NW 9TH AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1310
Mailing Address - Country:US
Mailing Address - Phone:561-392-3900
Mailing Address - Fax:561-392-3914
Practice Address - Street 1:1599 NW 9TH AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1310
Practice Address - Country:US
Practice Address - Phone:561-392-3900
Practice Address - Fax:561-392-3914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL658178OtherACN
FL88039OtherBC/BS OF FLORIDA
FL88039OtherBC/BS OF FLORIDA
FLU39981Medicare UPIN