Provider Demographics
NPI:1437345956
Name:NATURAL MEDICINE CLINIC, INC.
Entity Type:Organization
Organization Name:NATURAL MEDICINE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROFRANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-627-5816
Mailing Address - Street 1:2401 PGA BLVD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3515
Mailing Address - Country:US
Mailing Address - Phone:561-627-5816
Mailing Address - Fax:561-627-5895
Practice Address - Street 1:2401 PGA BLVD
Practice Address - Street 2:SUITE 132
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3515
Practice Address - Country:US
Practice Address - Phone:561-627-5816
Practice Address - Fax:561-627-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty