Provider Demographics
NPI:1801302302
Name:HARBOR CHIROPRACTIC AND WELLNESS CENTER
Entity type:Organization
Organization Name:HARBOR CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ORIENTALOS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-860-5215
Mailing Address - Street 1:4000 N STATE ROAD 7 STE 213
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4810
Mailing Address - Country:US
Mailing Address - Phone:754-701-5616
Mailing Address - Fax:
Practice Address - Street 1:4000 N STATE ROAD 7 STE 213
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-4810
Practice Address - Country:US
Practice Address - Phone:754-701-5616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty