Provider Demographics
NPI:1508227182
Name:POMPANO CHIROCARE PA
Entity Type:Organization
Organization Name:POMPANO CHIROCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-283-9610
Mailing Address - Street 1:437 E ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6214
Mailing Address - Country:US
Mailing Address - Phone:954-283-9610
Mailing Address - Fax:
Practice Address - Street 1:437 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6214
Practice Address - Country:US
Practice Address - Phone:954-283-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9761111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty