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General NPI Number Information
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NPI Number | 1992948517
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CARE OF PALM BEACH INC
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 50 COCOANUT ROW STE 215
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City | PALM BEACH
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State | FL
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Zip | 33480-4025
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Country | US
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Telephone | 561-833-7141
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Fax | 561-833-7041
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Provider Business Mailing Address
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Address Line | 50 COCOANUT ROW STE 215
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City | PALM BEACH
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State | FL
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Zip | 33480-4025
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Country | US
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Telephone | 561-833-7141
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Fax | 561-833-7041
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Authorized Official
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Title or Position | PRESIDENT/DR
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Name | DR. ALEXI OMID FAKHARI
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Credential |
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Telephone | 561-833-7141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 8900
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License Number State | FL
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