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NPI Code Detail

MEDICARE: NEVIN H GRUSHKA DC

MEDICARE:   NEVIN H GRUSHKA  DC
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
1111N00000XChiropractorCH8868FL

General Provider Information

NPI Number : 1811993546
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEVIN H GRUSHKA DC
Provider Business Mailing Address
First Line : 2041 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6132
Country : US
Telephone Number : 954-344-4343
Fax Number : 954-341-9411
Provider Business Practice Location Address
First Line : 2041 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6132
Country : US
Telephone Number : 954-344-4343
Fax Number : 954-341-9411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/08/2007

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Directions to “ NEVIN H GRUSHKA DC” Practice Location

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