Provider Demographics
NPI:1437658952
Name:OWENS CHIROPRACTIC & MASSAGE, LLC
Entity Type:Organization
Organization Name:OWENS CHIROPRACTIC & MASSAGE, LLC
Other - Org Name:OWENS CHIROPRACTIC & WELLNESS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAILA
Authorized Official - Middle Name:D
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-330-2508
Mailing Address - Street 1:PO BOX 246326
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-0122
Mailing Address - Country:US
Mailing Address - Phone:305-330-2508
Mailing Address - Fax:786-565-9499
Practice Address - Street 1:9710 STIRLING RD
Practice Address - Street 2:SUITE 112
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33024-8018
Practice Address - Country:US
Practice Address - Phone:305-330-2508
Practice Address - Fax:786-565-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-10
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty