Healthcare Provider Details

I. General information

NPI: 1528993003
Provider Name (Legal Business Name): IG CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S AUSTRALIAN AVE STE 5
WEST PALM BEACH FL
33409-6465
US

IV. Provider business mailing address

1801 S AUSTRALIAN AVE STE 5
WEST PALM BEACH FL
33409-6465
US

V. Phone/Fax

Practice location:
  • Phone: 787-674-4874
  • Fax: 561-516-6254
Mailing address:
  • Phone: 787-674-4874
  • Fax: 561-516-6254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL PEREZ
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 787-674-4874