Healthcare Provider Details

I. General information

NPI: 1962799213
Provider Name (Legal Business Name): PGA CHIROPRACTIC HEALTH CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 N MILITARY TRL STE # 111
PALM BEACH GARDENS FL
33410-6500
US

IV. Provider business mailing address

10800 N MILITARY TRL STE # 111
PALM BEACH GARDENS FL
33410-6500
US

V. Phone/Fax

Practice location:
  • Phone: 561-775-9111
  • Fax: 561-775-9131
Mailing address:
  • Phone: 561-775-9111
  • Fax: 561-775-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11037
License Number StateFL

VIII. Authorized Official

Name: DR. JAMES PAUL CIMA
Title or Position: AUTHORIZED OFFICIAL
Credential: DC
Phone: 561-775-9111