Provider Demographics
NPI:1588185524
Name:NEXT GENERATION CHIROPRACTIC AND REHAB. INC
Entity Type:Organization
Organization Name:NEXT GENERATION CHIROPRACTIC AND REHAB. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:V
Authorized Official - Last Name:AGOSTINO
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:954-210-8873
Mailing Address - Street 1:6100 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5134
Mailing Address - Country:US
Mailing Address - Phone:954-210-8873
Mailing Address - Fax:954-210-8854
Practice Address - Street 1:6100 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-210-8873
Practice Address - Fax:954-210-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH-9049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty