Provider Demographics
NPI:1811310048
Name:CARPE DIEM CHIROPRACTIC INC
Entity type:Organization
Organization Name:CARPE DIEM CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BARAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MERAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-395-4882
Mailing Address - Street 1:1321 S ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1837
Mailing Address - Country:US
Mailing Address - Phone:516-395-4882
Mailing Address - Fax:954-467-1907
Practice Address - Street 1:1925 CORDOVA RD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2157
Practice Address - Country:US
Practice Address - Phone:954-980-5483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty