Provider Demographics
NPI:1982850921
Name:DORSAL REHAB., INC
Entity Type:Organization
Organization Name:DORSAL REHAB., INC
Other - Org Name:ADRIAN SAGMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-986-4006
Mailing Address - Street 1:6890 MIRAMAR PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:954-986-4006
Mailing Address - Fax:954-986-0007
Practice Address - Street 1:6890 MIRAMAR PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:954-986-4006
Practice Address - Fax:954-986-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU95048Medicare UPIN