Healthcare Provider Details

I. General information

NPI: 1033327788
Provider Name (Legal Business Name): DANIEL ABECKJERR DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 NE 167TH ST
NORTH MIAMI BEACH FL
33162-3404
US

IV. Provider business mailing address

177 NE 167TH ST
NORTH MIAMI BEACH FL
33162-3404
US

V. Phone/Fax

Practice location:
  • Phone: 305-651-8100
  • Fax: 305-651-2241
Mailing address:
  • Phone: 305-651-8100
  • Fax: 305-651-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number004105
License Number StateFL

VIII. Authorized Official

Name: DR. DANIEL A. ABECKJERR
Title or Position: PRESIDENT
Credential: DC
Phone: 305-651-8100