Provider Demographics
NPI:1598089294
Name:EAST COAST CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:EAST COAST CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AYHEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SABRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-262-3233
Mailing Address - Street 1:8000 W FLAGLER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2153
Mailing Address - Country:US
Mailing Address - Phone:305-262-3233
Mailing Address - Fax:305-262-3334
Practice Address - Street 1:8000 W FLAGLER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2153
Practice Address - Country:US
Practice Address - Phone:305-262-3233
Practice Address - Fax:305-262-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9034261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center