Healthcare Provider Details

I. General information

NPI: 1285971085
Provider Name (Legal Business Name): ATLANTIC CHIROPRACTIC ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 01/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 EAST ATLANTIC BOULEVARD SUITE C
POMPANO BEACH FL
33060
US

IV. Provider business mailing address

1150 E ATLANTIC BLVD SUITE C
POMPANO BEACH FL
33060-7404
US

V. Phone/Fax

Practice location:
  • Phone: 954-968-4144
  • Fax: 954-786-4444
Mailing address:
  • Phone: 954-968-4144
  • Fax: 954-786-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH4983
License Number StateFL

VIII. Authorized Official

Name: DR. LINDA C ABBOTT
Title or Position: PRESIDENT
Credential: D.C.
Phone: 954-968-4144