Provider Demographics
NPI:1982838272
Name:HEALTH CONCEPT WELLNESS CHIROPRACTIC CARE CENTER
Entity Type:Organization
Organization Name:HEALTH CONCEPT WELLNESS CHIROPRACTIC CARE CENTER
Other - Org Name:HEALTH CONCEPT WELLNESS CHIROPRACTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:LIEBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-294-4917
Mailing Address - Street 1:1250 PINE SAGE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7062
Mailing Address - Country:US
Mailing Address - Phone:561-294-4917
Mailing Address - Fax:561-683-5855
Practice Address - Street 1:1250 PINE SAGE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-7062
Practice Address - Country:US
Practice Address - Phone:561-294-4917
Practice Address - Fax:561-683-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty