Provider Demographics
NPI:1548205768
Name:FARHI FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FARHI FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-685-7246
Mailing Address - Street 1:13889 WELLINGTON TRCE
Mailing Address - Street 2:SUITE A3
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2121
Mailing Address - Country:US
Mailing Address - Phone:561-685-7246
Mailing Address - Fax:561-798-0563
Practice Address - Street 1:13889 WELLINGTON TRCE
Practice Address - Street 2:SUITE A3
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-2121
Practice Address - Country:US
Practice Address - Phone:561-685-7246
Practice Address - Fax:561-798-0563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty