Provider Demographics
NPI:1376195602
Name:PARZYCH, MICHAEL ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:PARZYCH
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 1:8870 W OAKLAND PARK BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7215
Mailing Address - Country:US
Mailing Address - Phone:954-748-3700
Mailing Address - Fax:954-688-2523
Practice Address - Street 1:8870 W OAKLAND PARK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7215
Practice Address - Country:US
Practice Address - Phone:954-748-3700
Practice Address - Fax:954-688-2523
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1649092750OtherGROUP NPI