Provider Demographics
NPI:1861675316
Name:CHIRO GROUP, LLC
Entity Type:Organization
Organization Name:CHIRO GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZUSMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-512-4079
Mailing Address - Street 1:6447 MIAMI LAKES DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2741
Mailing Address - Country:US
Mailing Address - Phone:305-512-4079
Mailing Address - Fax:
Practice Address - Street 1:6447 MIAMI LAKES DR
Practice Address - Street 2:SUITE 206
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2741
Practice Address - Country:US
Practice Address - Phone:305-512-4079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service