Healthcare Provider Details

I. General information

NPI: 1689578122
Provider Name (Legal Business Name): HOLLYWOOD FAMILY CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 WASHINGTON STREET
HOLLYWOOD FL
33020
US

IV. Provider business mailing address

2030 WASHINGTON STREET
HOLLYWOOD FL
33020
US

V. Phone/Fax

Practice location:
  • Phone: 954-505-7743
  • Fax: 954-505-7744
Mailing address:
  • Phone: 954-505-7743
  • Fax: 954-505-7744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: TIM TSIATSIAS
Title or Position: OWNER/
Credential: D.C.
Phone: 954-505-7743