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NPI Code Detail

MEDICARE: CHIROBODYMECHANIC, LLC

MEDICARE: CHIROBODYMECHANIC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1053051904
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROBODYMECHANIC, LLC
Provider Business Mailing Address
First Line : 701 N FEDERAL HWY UNIT 501
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-2449
Country : US
Telephone Number : 954-914-8765
Fax Number :
Provider Business Practice Location Address
First Line : 701 N FEDERAL HWY STE 501
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-2449
Country : US
Telephone Number : 954-914-8765
Fax Number :
Authorized Official
Title or Position : CHIROPRATOR
Name : MR. ALAIN NICOLAS-DAVID
Credential : DC
Telephone Number : 954-914-8765
Provider Enumeration Date : 03/30/2022
Last Update Date : 05/03/2022

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Directions to “CHIROBODYMECHANIC, LLC ” Practice Location

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