Provider Demographics
NPI:1891109914
Name:WENZEL CENTER FOR CHIROPRACTIC & ALTERNATIVE MEDICINE, INC.
Entity Type:Organization
Organization Name:WENZEL CENTER FOR CHIROPRACTIC & ALTERNATIVE MEDICINE, INC.
Other - Org Name:BOCA ORTHOPEDIC & CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:IRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-955-9400
Mailing Address - Street 1:7015 BERACASA WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3453
Mailing Address - Country:US
Mailing Address - Phone:561-955-9400
Mailing Address - Fax:561-955-1988
Practice Address - Street 1:7015 BERACASA WAY STE 103
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3453
Practice Address - Country:US
Practice Address - Phone:561-955-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WENZEL CENTER FOR CHIROPRACTIC & ALTERNATIVE MEDICINE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-17
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7189111N00000X
207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty