Provider Demographics
NPI:1669225017
Name:INJURY RELIEF CHIROPRACTIC
Entity type:Organization
Organization Name:INJURY RELIEF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-901-3009
Mailing Address - Street 1:4520 W HALLANDALE BEACH BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4344
Mailing Address - Country:US
Mailing Address - Phone:305-901-3009
Mailing Address - Fax:
Practice Address - Street 1:4520 W HALLANDALE BEACH BLVD STE 8
Practice Address - Street 2:
Practice Address - City:PEMBROKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-4344
Practice Address - Country:US
Practice Address - Phone:305-901-3009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center