Provider Demographics
NPI:1821866989
Name:FLORIDA CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:FLORIDA CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIBA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-667-6237
Mailing Address - Street 1:4402 MARTINIQUE CT APT D4
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-1425
Mailing Address - Country:US
Mailing Address - Phone:561-667-6237
Mailing Address - Fax:
Practice Address - Street 1:5975 N FEDERAL HWY STE 121
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2661
Practice Address - Country:US
Practice Address - Phone:954-771-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty