Healthcare Provider Details

I. General information

NPI: 1386848562
Provider Name (Legal Business Name): NEURAL INTEGRATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 DEER CREEK PALLADIAN CIR
DEERFIELD BEACH FL
33442-7985
US

IV. Provider business mailing address

3533 DEER CREEK PALLADIAN CIR
DEERFIELD BEACH FL
33442-7985
US

V. Phone/Fax

Practice location:
  • Phone: 954-481-8511
  • Fax: 954-481-8502
Mailing address:
  • Phone: 954-481-8511
  • Fax: 954-481-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License NumberCH8226
License Number StateFL

VIII. Authorized Official

Name: DR. ANNALEE KITAY
Title or Position: PRESIDENT
Credential: D.C.
Phone: 954-481-8511