Provider Demographics
NPI:1619229267
Name:NODARSE CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:NODARSE CHIROPRACTIC CORP
Other - Org Name:ABSOLUTE HEALTH CENTER CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:NODARSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-461-1042
Mailing Address - Street 1:4505 W FLAGLER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1500
Mailing Address - Country:US
Mailing Address - Phone:305-461-1042
Mailing Address - Fax:305-461-1043
Practice Address - Street 1:4505 W FLAGLER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1500
Practice Address - Country:US
Practice Address - Phone:305-461-1042
Practice Address - Fax:305-461-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty