Provider Demographics
NPI:1881749869
Name:SEALS CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:SEALS CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONAID
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-657-3028
Mailing Address - Street 1:PO BOX 541179
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33454-1179
Mailing Address - Country:US
Mailing Address - Phone:954-657-3028
Mailing Address - Fax:
Practice Address - Street 1:910 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-2138
Practice Address - Country:US
Practice Address - Phone:954-570-7699
Practice Address - Fax:954-570-7698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7300Medicare ID - Type Unspecified