Provider Demographics
NPI:1205938495
Name:MAURI, PHILIP ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:ARTHUR
Last Name:MAURI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10887 N MILITARY TRL
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6528
Mailing Address - Country:US
Mailing Address - Phone:561-799-5050
Mailing Address - Fax:561-799-5085
Practice Address - Street 1:10887 N MILITARY TRL
Practice Address - Street 2:SUITE 7
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6528
Practice Address - Country:US
Practice Address - Phone:561-799-5050
Practice Address - Fax:561-799-5085
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7847111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55937ZMedicare ID - Type UnspecifiedCHIROPRACTIC PHYSICAN