Provider Demographics
NPI:1679750269
Name:MIAMI FAMILY CHIROPRACTIC CENTER INC.
Entity Type:Organization
Organization Name:MIAMI FAMILY CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:REISECK
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:305-681-2268
Mailing Address - Street 1:4305 E 8TH AVE
Mailing Address - Street 2:SUITE # C
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-2465
Mailing Address - Country:US
Mailing Address - Phone:305-681-2268
Mailing Address - Fax:305-681-2264
Practice Address - Street 1:4305 E 8TH AVE
Practice Address - Street 2:SUITE # C
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-2465
Practice Address - Country:US
Practice Address - Phone:305-681-2268
Practice Address - Fax:305-681-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service