Healthcare Provider Details

I. General information

NPI: 1437782588
Provider Name (Legal Business Name): ADVANCED INJURY MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 NE 186TH ST
MIAMI FL
33180-2907
US

IV. Provider business mailing address

1600 S FEDERAL HWY STE 451
POMPANO BEACH FL
33062-7525
US

V. Phone/Fax

Practice location:
  • Phone: 954-803-3408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN SCHWARTZ
Title or Position: MANAGER
Credential: DC
Phone: 954-803-3408