Provider Demographics
NPI:1013157692
Name:LADIES FIRST CHIROPRACTIC INC
Entity Type:Organization
Organization Name:LADIES FIRST CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:STEVENS
Authorized Official - Last Name:DRAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-913-0001
Mailing Address - Street 1:6467 BARTON CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6548
Mailing Address - Country:US
Mailing Address - Phone:407-913-0001
Mailing Address - Fax:
Practice Address - Street 1:1054 GATEWAY BOULEVARD
Practice Address - Street 2:SUITE 110
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426
Practice Address - Country:US
Practice Address - Phone:407-913-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty