Provider Demographics
NPI:1740438845
Name:PRIORITY MEDICAL CENTERS, LLC
Entity type:Organization
Organization Name:PRIORITY MEDICAL CENTERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:ASHKINAZY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-346-5750
Mailing Address - Street 1:10778 WILES RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076
Mailing Address - Country:US
Mailing Address - Phone:954-346-5750
Mailing Address - Fax:954-757-2533
Practice Address - Street 1:10778 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076
Practice Address - Country:US
Practice Address - Phone:954-346-5750
Practice Address - Fax:954-757-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7494111N00000X
FLCH6841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty