Provider Demographics
NPI:1598984312
Name:FAMILY CHIROPRACTIC CENTER, INC
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LERFELT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-355-5880
Mailing Address - Street 1:15158 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-5034
Mailing Address - Country:US
Mailing Address - Phone:786-355-5880
Mailing Address - Fax:
Practice Address - Street 1:15158 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-5034
Practice Address - Country:US
Practice Address - Phone:786-355-5880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4959111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH4959OtherSTATE LICENSE