Healthcare Provider Details

I. General information

NPI: 1265231583
Provider Name (Legal Business Name): CDIXON INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 RICE ST
MIAMI FL
33133-5216
US

IV. Provider business mailing address

13130 SW 127TH CT
MIAMI FL
33186-7582
US

V. Phone/Fax

Practice location:
  • Phone: 305-792-8393
  • 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: COURTNEY DIXON
Title or Position: OWNER
Credential:
Phone: 305-792-8393