Healthcare Provider Details

I. General information

NPI: 1841115359
Provider Name (Legal Business Name): BETHEL CARE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6536 W ATLANTIC BLVD
MARGATE FL
33063-5135
US

IV. Provider business mailing address

6536 W ATLANTIC BLVD
MARGATE FL
33063-5135
US

V. Phone/Fax

Practice location:
  • Phone: 786-210-3064
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DESIREE BETHEL
Title or Position: OWNER
Credential: DC
Phone: 786-210-3064