Healthcare Provider Details
I. General information
NPI: 1437127701
Provider Name (Legal Business Name): SCHRAMM CHIROPRACTIC CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2006
Last Update Date: 02/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8195 N MILITARY TRAIL SUITES E & F
PALM BEACH GARDENS FL
33410
US
IV. Provider business mailing address
8195 N MILITARY TRAIL SUITES E & F
PALM BEACH GARDENS FL
33410
US
V. Phone/Fax
- Phone: 561-622-7392
- Fax: 561-622-7355
- Phone: 561-622-7392
- Fax: 561-622-7355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH5961 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
ROBERT
WILLIAM
SCHRAMM
Title or Position: PRESIDENT
Credential: DC DCN
Phone: 561-622-7392