Provider Demographics
NPI:1942342639
Name:CARE CHIROPRACTIC & WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:CARE CHIROPRACTIC & WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-728-1387
Mailing Address - Street 1:2104 W NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:W MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-3864
Mailing Address - Country:US
Mailing Address - Phone:321-728-1387
Mailing Address - Fax:321-728-1386
Practice Address - Street 1:2104 W NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:W MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3864
Practice Address - Country:US
Practice Address - Phone:321-728-1387
Practice Address - Fax:321-728-1386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2032Medicare ID - Type UnspecifiedGROUP ID