Healthcare Provider Details

I. General information

NPI: 1235832759
Provider Name (Legal Business Name): CAJUN COMMUNICATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 S US HIGHWAY 1
MALABAR FL
32950-6911
US

IV. Provider business mailing address

1280 S US HIGHWAY 1
MALABAR FL
32950-6911
US

V. Phone/Fax

Practice location:
  • Phone: 321-292-0957
  • Fax:
Mailing address:
  • Phone: 321-292-0957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BETH RUEDE
Title or Position: CO-OWNER
Credential: DC
Phone: 321-292-0957