Healthcare Provider Details

I. General information

NPI: 1811201767
Provider Name (Legal Business Name): NEW PATH CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 05/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 GREENWICH CIR STE 100 SUITE 110
JUPITER FL
33458-4808
US

IV. Provider business mailing address

425 GREENWICH CIR STE 100 SUITE 110
JUPITER FL
33458-4808
US

V. Phone/Fax

Practice location:
  • Phone: 561-653-1197
  • Fax: 561-653-6011
Mailing address:
  • Phone: 561-653-1197
  • Fax: 561-653-6011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9810
License Number StateFL

VIII. Authorized Official

Name: MR. STEVEN MUSCARI
Title or Position: OWNER
Credential: D.C.
Phone: 561-653-1197