Provider Demographics
NPI:1629257589
Name:FURSHMAN AND DAVIS CHIROPRACTIC CENTERS INC
Entity Type:Organization
Organization Name:FURSHMAN AND DAVIS CHIROPRACTIC CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FURSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-668-9545
Mailing Address - Street 1:1560 S DIXIE HWY
Mailing Address - Street 2:STE 206
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3074
Mailing Address - Country:US
Mailing Address - Phone:305-668-9545
Mailing Address - Fax:305-668-9541
Practice Address - Street 1:1001 N FEDERAL HWY
Practice Address - Street 2:STE 103
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2400
Practice Address - Country:US
Practice Address - Phone:954-241-0145
Practice Address - Fax:954-987-3097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCHOOO7674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDB1449OtherRAILROAD MEDICARE
FL00704OtherBLUE CROSS BLUE SHIELD
FL381425400Medicaid
FLDB1449OtherRAILROAD MEDICARE