Healthcare Provider Details

I. General information

NPI: 1114232899
Provider Name (Legal Business Name): PRINCIPLED CHIROPRACTIC CENTER, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 ROYAL PALM BEACH BLVD STE 7
ROYAL PALM BEACH FL
33411-7661
US

IV. Provider business mailing address

650 ROYAL PALM BEACH BLVD STE 7
ROYAL PALM BEACH FL
33411-7661
US

V. Phone/Fax

Practice location:
  • Phone: 561-791-2225
  • Fax: 561-791-2226
Mailing address:
  • Phone: 561-791-2225
  • Fax: 561-333-5374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9443
License Number StateFL

VIII. Authorized Official

Name: DR. ANDREW T. BIGGS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 561-676-4018