Provider Demographics
NPI:1326219551
Name:BELFOR DOCTORS CENTER PA
Entity Type:Organization
Organization Name:BELFOR DOCTORS CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-650-5012
Mailing Address - Street 1:3801 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 502
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6332
Mailing Address - Country:US
Mailing Address - Phone:954-776-4572
Mailing Address - Fax:954-766-4674
Practice Address - Street 1:3801 N UNIVERSITY DR
Practice Address - Street 2:SUITE 502
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6332
Practice Address - Country:US
Practice Address - Phone:954-766-4572
Practice Address - Fax:954-776-4674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-15
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57197Medicare UPIN