Provider Demographics
NPI:1265873889
Name:CHIRO-MEDICAL ASSOCIATES OF HOLLYWOOD, INC.
Entity type:Organization
Organization Name:CHIRO-MEDICAL ASSOCIATES OF HOLLYWOOD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-929-1211
Mailing Address - Street 1:2295 NW CORPORATE BLVD
Mailing Address - Street 2:#245
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7373
Mailing Address - Country:US
Mailing Address - Phone:561-988-0545
Mailing Address - Fax:
Practice Address - Street 1:2832 STIRLING RD
Practice Address - Street 2:SUITES E & F
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1127
Practice Address - Country:US
Practice Address - Phone:954-929-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85328332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site