Provider Demographics
NPI:1477735025
Name:PARAMOUNT CHIROPRACTIC INC
Entity Type:Organization
Organization Name:PARAMOUNT CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFTOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-776-7270
Mailing Address - Street 1:9121 N MILITARY TRL
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5984
Mailing Address - Country:US
Mailing Address - Phone:561-776-7270
Mailing Address - Fax:561-776-1960
Practice Address - Street 1:9121 N MILITARY TRL
Practice Address - Street 2:SUITE 104
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-5984
Practice Address - Country:US
Practice Address - Phone:561-776-7270
Practice Address - Fax:561-776-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8861Medicare PIN