Healthcare Provider Details

I. General information

NPI: 1962743898
Provider Name (Legal Business Name): DC HEALTH CENTERS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 01/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7797 N UNIVERSITY DR #101
TAMARAC FL
33321-6110
US

IV. Provider business mailing address

7797 N UNIVERSITY DR #101
TAMARAC FL
33321-6110
US

V. Phone/Fax

Practice location:
  • Phone: 954-746-1688
  • Fax:
Mailing address:
  • Phone: 954-461-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN M CANE
Title or Position: PRESIDENT
Credential: DC
Phone: 954-461-6884