=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306068002
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTHCARE ASSOCIATES OF FLORIDA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2007
-----------------------------------------------------
Last Update Date | 05/24/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1500 N UNIVERSITY DR SUITE #101
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33071-8914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-755-2644
-----------------------------------------------------
Fax | 954-755-9355
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1500 N UNIVERSITY DR SUITE #101
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33071-8914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-755-2644
-----------------------------------------------------
Fax | 954-755-9355
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ROBERT L DAMORA
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 954-755-2644
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH0005921
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------