Provider Demographics
NPI:1407165848
Name:CHIROCARE OF POMPANO BEACH, INC.
Entity Type:Organization
Organization Name:CHIROCARE OF POMPANO BEACH, INC.
Other - Org Name:CHIROCARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-785-6000
Mailing Address - Street 1:1 NE 23RD AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5247
Mailing Address - Country:US
Mailing Address - Phone:954-785-6000
Mailing Address - Fax:954-785-6005
Practice Address - Street 1:1 NE 23RD AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5247
Practice Address - Country:US
Practice Address - Phone:954-785-6000
Practice Address - Fax:954-785-6005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9944111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty