Provider Demographics
NPI:1952734865
Name:CHIROPRACTIC WELLNESS & REHAB INC
Entity Type:Organization
Organization Name:CHIROPRACTIC WELLNESS & REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHLUGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-5309
Mailing Address - Street 1:7600 S RED RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5428
Mailing Address - Country:US
Mailing Address - Phone:305-661-5309
Mailing Address - Fax:305-284-1264
Practice Address - Street 1:7600 S RED RD
Practice Address - Street 2:SUITE 124
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-661-5309
Practice Address - Fax:305-284-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty