Provider Demographics
NPI:1295958197
Name:UNIVERSITY HEALTH CENTER PA
Entity type:Organization
Organization Name:UNIVERSITY HEALTH CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-722-6050
Mailing Address - Street 1:7797 N UNIVERSITY DR
Mailing Address - Street 2:101
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-6110
Mailing Address - Country:US
Mailing Address - Phone:954-722-6050
Mailing Address - Fax:954-720-7776
Practice Address - Street 1:7797 N UNIVERSITY DR
Practice Address - Street 2:101
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6110
Practice Address - Country:US
Practice Address - Phone:954-722-6050
Practice Address - Fax:954-720-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBM406AMedicare PIN
FLU20001Medicare UPIN