Provider Demographics
NPI:1255376703
Name:SILVERMAN CHIROPRACTIC & REHABILITATION CENTER INC
Entity type:Organization
Organization Name:SILVERMAN CHIROPRACTIC & REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIRENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-595-9920
Mailing Address - Street 1:701 SW 27TH AVE
Mailing Address - Street 2:SUITE GR-21
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3031
Mailing Address - Country:US
Mailing Address - Phone:305-595-9920
Mailing Address - Fax:305-642-9247
Practice Address - Street 1:701 SW 27TH AVE
Practice Address - Street 2:SUITE GR-21
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3031
Practice Address - Country:US
Practice Address - Phone:305-595-9920
Practice Address - Fax:305-642-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3704Medicare ID - Type UnspecifiedPROVIDER NUMBER