Provider Demographics
NPI:1740466515
Name:GERALD H RAPPAPORT DC PA
Entity type:Organization
Organization Name:GERALD H RAPPAPORT DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-554-1150
Mailing Address - Street 1:5200 N FEDERAL HWY
Mailing Address - Street 2:#7
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3253
Mailing Address - Country:US
Mailing Address - Phone:954-229-8300
Mailing Address - Fax:954-229-8303
Practice Address - Street 1:5200 N FEDERAL HWY
Practice Address - Street 2:#7
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3253
Practice Address - Country:US
Practice Address - Phone:954-229-8300
Practice Address - Fax:954-229-8303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty