Healthcare Provider Details

I. General information

NPI: 1649978214
Provider Name (Legal Business Name): ELIXIR CHIROPRACTIC HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 S MILITARY TRL STE 270
DELRAY BEACH FL
33484-6511
US

IV. Provider business mailing address

16244 S MILITARY TRL STE 270
DELRAY BEACH FL
33484-6511
US

V. Phone/Fax

Practice location:
  • Phone: 344-074-7455
  • Fax:
Mailing address:
  • Phone: 344-074-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDIE-GEORGE N MARIANAH
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 344-074-7455