Provider Demographics
NPI:1427182088
Name:MARKSON CHIROPRACTIC OF COCONUT CREEK INC
Entity Type:Organization
Organization Name:MARKSON CHIROPRACTIC OF COCONUT CREEK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARKSON
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:2007-03-15
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty