Provider Demographics
NPI:1568038545
Name:DUKE CENTER FOR CHIROPRACTIC SPORTS & SPINE C.A.R.E.
Entity Type:Organization
Organization Name:DUKE CENTER FOR CHIROPRACTIC SPORTS & SPINE C.A.R.E.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:G
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-571-0044
Mailing Address - Street 1:5550 GLADES RD
Mailing Address - Street 2:SUITE 500 #1088
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-571-0044
Mailing Address - Fax:
Practice Address - Street 1:5550 GLADES RD
Practice Address - Street 2:SUITE 500 #1088
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-571-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty