Provider Demographics
NPI:1538282884
Name:MEUNIER, EDWARD JOHN (DC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:JOHN
Last Name:MEUNIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 NW 81ST WAY
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1254
Mailing Address - Country:US
Mailing Address - Phone:954-382-1599
Mailing Address - Fax:
Practice Address - Street 1:1875 N CORPORATE LAKES BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3270
Practice Address - Country:US
Practice Address - Phone:954-384-7115
Practice Address - Fax:954-384-7141
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 5967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH 5967OtherSTATE LICENSE