Provider Demographics
NPI:1508078650
Name:THOMAS J. COWELL.D.C., P.A.
Entity Type:Organization
Organization Name:THOMAS J. COWELL.D.C., P.A.
Other - Org Name:COWELL CHIROPRACTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:COWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC,CCSP
Authorized Official - Phone:954-776-6888
Mailing Address - Street 1:2940 E COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4208
Mailing Address - Country:US
Mailing Address - Phone:954-776-6888
Mailing Address - Fax:954-491-2296
Practice Address - Street 1:2940 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4208
Practice Address - Country:US
Practice Address - Phone:954-776-6888
Practice Address - Fax:954-491-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4382111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty