Healthcare Provider Details

I. General information

NPI: 1548592181
Provider Name (Legal Business Name): TIKUN HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4621 N UNIVERSITY DR
CORAL SPRINGS FL
33067-4602
US

IV. Provider business mailing address

4621 N UNIVERSITY DR
CORAL SPRINGS FL
33067-4602
US

V. Phone/Fax

Practice location:
  • Phone: 954-341-5544
  • Fax:
Mailing address:
  • Phone: 954-341-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0003476
License Number StateFL

VIII. Authorized Official

Name: DR. JEFFREY A FRACHTMAN
Title or Position: OWNER/PRES
Credential: D.C.
Phone: 354-341-5544