Provider Demographics
NPI:1396936084
Name:MIGDAL CHIROPRACTIC & FAMILY WELLNESS CENTER PA
Entity type:Organization
Organization Name:MIGDAL CHIROPRACTIC & FAMILY WELLNESS CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MIGDAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-278-2224
Mailing Address - Street 1:74 NE 4TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-4565
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:74 NE 4TH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-4565
Practice Address - Country:US
Practice Address - Phone:561-278-2224
Practice Address - Fax:561-278-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK58895Medicare UPIN