Provider Demographics
NPI:1558585679
Name:APPLIED SPORTS & INJURY CENTER, INC.
Entity Type:Organization
Organization Name:APPLIED SPORTS & INJURY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-881-3003
Mailing Address - Street 1:7711 N MILITARY TRL STE 214
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6506
Mailing Address - Country:US
Mailing Address - Phone:561-881-3003
Mailing Address - Fax:561-881-3011
Practice Address - Street 1:7711 N MILITARY TRL STE 214
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6506
Practice Address - Country:US
Practice Address - Phone:561-881-3003
Practice Address - Fax:561-881-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55824OtherBC BS PROVIDER
FL55824OtherBC BS PROVIDER