Healthcare Provider Details

I. General information

NPI: 1932501582
Provider Name (Legal Business Name): AARON CHADWICK A.P., L.N.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 09/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 STIRLING RD SUITE 107
HOLLYWOOD FL
33024-8011
US

IV. Provider business mailing address

9700 STIRLING RD SUITE 107
HOLLYWOOD FL
33024-8011
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-6161
  • Fax: 954-450-9058
Mailing address:
  • Phone: 954-436-6161
  • Fax: 954-450-9058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNC 247
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: