Healthcare Provider Details

I. General information

NPI: 1558637280
Provider Name (Legal Business Name): ARTURO AZITO CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 PONCE DE LEON BLVD
CORAL GABLES FL
33134-6816
US

IV. Provider business mailing address

3121 PONCE DE LEON BLVD
CORAL GABLES FL
33134-6816
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-8378
  • Fax: 786-464-0624
Mailing address:
  • Phone: 786-953-8378
  • Fax: 786-464-0624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH7408
License Number StateFL

VIII. Authorized Official

Name: DR. ARTURO ANTONIO AZITO
Title or Position: PRESIDENT
Credential: D.C
Phone: 789-953-8378