Provider Demographics
NPI:1396375861
Name:HEALTH & WELLNESS CHIROPRACTIC CENTERS OF SOUTH FLORIDA INC.
Entity Type:Organization
Organization Name:HEALTH & WELLNESS CHIROPRACTIC CENTERS OF SOUTH FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-352-8294
Mailing Address - Street 1:PO BOX 223152
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33422-3152
Mailing Address - Country:US
Mailing Address - Phone:561-992-8872
Mailing Address - Fax:561-584-7803
Practice Address - Street 1:1200 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-7808
Practice Address - Country:US
Practice Address - Phone:561-992-8872
Practice Address - Fax:561-584-7803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty