Healthcare Provider Details

I. General information

NPI: 1235402801
Provider Name (Legal Business Name): HOWARD DINNER, D.C., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2012
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N UNIVERSITY DR STE 116
PLANTATION FL
33324-2039
US

IV. Provider business mailing address

201 N UNIVERSITY DR STE 116
PLANTATION FL
33324-2039
US

V. Phone/Fax

Practice location:
  • Phone: 954-370-7246
  • Fax: 954-370-9535
Mailing address:
  • Phone: 954-370-7246
  • Fax: 954-370-9535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH3699
License Number StateFL

VIII. Authorized Official

Name: HOWARD DINNER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 954-370-7246