Healthcare Provider Details
I. General information
NPI: 1740594555
Provider Name (Legal Business Name): BARTOSEK CHIROPRACTIC CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/04/2010
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5601 N FEDERAL HWY SUITE 2
BOCA RATON FL
33487-4012
US
IV. Provider business mailing address
5601 N FEDERAL HWY SUITE 2
BOCA RATON FL
33487-4012
US
V. Phone/Fax
- Phone: 561-997-7660
- Fax: 561-997-7661
- Phone: 561-997-7660
- Fax: 561-997-7661
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | CH 3850 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
HELEN
MARIE
BARTOSEK
Title or Position: OWNER
Credential: DC
Phone: 561-997-7660