Provider Demographics
NPI:1871851006
Name:VV CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:VV CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-306-6351
Mailing Address - Street 1:3650 SW 10TH ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-5997
Mailing Address - Country:US
Mailing Address - Phone:561-306-6351
Mailing Address - Fax:
Practice Address - Street 1:2471 SW 82ND AVE
Practice Address - Street 2:APT 210
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-7722
Practice Address - Country:US
Practice Address - Phone:561-306-6351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty