Healthcare Provider Details
I. General information
NPI: 1912184292
Provider Name (Legal Business Name): FIRST HEALTH CHIROPRACTIC GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2008
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4300 10TH AVE N
LAKE WORTH FL
33461-2322
US
IV. Provider business mailing address
4300 10TH AVE N
LAKE WORTH FL
33461-2322
US
V. Phone/Fax
- Phone: 561-633-6002
- Fax: 305-675-2668
- Phone: 561-633-6002
- Fax: 305-675-2668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TAMER
A
SABRY
Title or Position: PRESIDENT OWNER
Credential: CHIROPRACTIC
Phone: 561-633-6002