Healthcare Provider Details

I. General information

NPI: 1497195630
Provider Name (Legal Business Name): URHEALTH CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 07/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3275 W HILLSBORO BLVD STE 210
DEERFIELD BEACH FL
33442-9476
US

IV. Provider business mailing address

3275 W HILLSBORO BLVD STE 210
DEERFIELD BEACH FL
33442-9476
US

V. Phone/Fax

Practice location:
  • Phone: 954-825-8490
  • Fax:
Mailing address:
  • Phone: 954-825-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberCH10029
License Number StateFL

VIII. Authorized Official

Name: JOSE A PATINO
Title or Position: MANAGER/OWNER
Credential: D.C.
Phone: 954-825-8490