Healthcare Provider Details

I. General information

NPI: 1376682039
Provider Name (Legal Business Name): CENTER FOR HOLISTIC HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N MIAMI BEACH BLVD SUITE 403
NORTH MIAMI BEACH FL
33162-3712
US

IV. Provider business mailing address

909 N MIAMI BEACH BLVD SUITE 403
NORTH MIAMI BEACH FL
33162-3712
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-3506
  • Fax: 305-944-8055
Mailing address:
  • Phone: 305-940-3506
  • Fax: 305-944-8055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH 8555
License Number StateFL

VIII. Authorized Official

Name: DR. NATALIA KOGAN
Title or Position: CHIROPRACTIC NEUROLOGIST
Credential: D.C.
Phone: 305-940-3506