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General NPI Number Information
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NPI Number | 1568790715
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Entity Type | Organization
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Legal Business Name | MATTHEW WESTRICH DC PA
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 9851 E EVERGREEN ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-5441
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Country | US
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Telephone | 305-235-1241
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Fax | 305-460-5082
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Provider Business Mailing Address
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Address Line | 9550 SW 181ST TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5629
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Country | US
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Telephone | 305-492-9075
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Fax | 305-969-8754
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW DAVID WESTRICH
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Credential | D.C.
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Telephone | 305-492-9075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH9148
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License Number State | FL
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